# DS FORTWORTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Perfect Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568941011
- **Authorized official:** DR. SHIV KOHLI DDS (OWNER)
- **Authorized official phone:** (682) 201-9534

## Contact information

- **Practice address:** 550 ALTA MERE DR, FORT WORTH, TX 76114-4053
- **Practice address phone:** (817) 286-0044
- **Mailing address:** 550 ALTA MERE DR, FORT WORTH, TX 76114-4053
- **Mailing address phone:** (817) 286-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 29431 | TX | Yes |

## Other

- **Enumeration date:** 08/07/2018
- **Last updated:** 08/07/2018
