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Organization
NIMU PLLC
Active
Organization
NIMU PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANILKUMAR BHAILALBHAI PATEL DDS (OWNER)
(213) 926-2143
Entity
Organization
Contact information
Practice address
5325 MCPHERSON BLVD, SUITE 120, FORT WORTH, TX 76123
(213) 926-2143
Mailing address
1901 BRAHORN LN, FORT WORTH, TX 76131-1626
(213) 926-2143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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