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Organization
HOME TOWN DENTAL OF LAKE WORTH PC
Active
Organization
HOME TOWN DENTAL OF LAKE WORTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY SANCHEZ (REGIONAL MANAGER)
(817) 927-8500
Entity
Organization
Contact information
Practice address
6332 LAKE WORTH BLVD, LAKE WORTH, TX 76135-3602
(817) 237-3222
(817) 237-0101
Mailing address
6332 LAKE WORTH BLVD, LAKE WORTH, TX 76135-3602
(817) 237-3222
(817) 237-0101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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