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Organization
TIMBER CREEK DENTAL & ORTHODONTICS
Active
Organization
TIMBER CREEK DENTAL & ORTHODONTICS
Active
Other names
Timber Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CASEY DDS (DENTIST/OWNER)
(817) 562-3292
Entity
Organization
Contact information
Practice address
12650 N BEACH ST, SUITE 100, FORT WORTH, TX 76244-4243
(817) 562-3292
(817) 337-9375
Mailing address
12650 N BEACH ST, SUITE 100, FORT WORTH, TX 76244-4243
(817) 562-3292
(817) 337-9375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19907
TX
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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