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Organization
GOLD STAR DENTAL, PLLC
Active
Organization
GOLD STAR DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL WANG (FINANCE DIRECTOR)
(817) 446-1154
Entity
Organization
Contact information
Practice address
6605 MCCART AVE, FORT WORTH, TX 76133-5633
(817) 263-4653
(817) 292-2628
Mailing address
6605 MCCART AVE, FORT WORTH, TX 76133-5633
(817) 263-4653
(817) 292-2628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
10/10/2012
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