# S2 DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentistry of Downtown Fort Worth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578321113
- **Authorized official:** MANSHI PATEL DDS (DENTIST)
- **Authorized official phone:** (817) 797-1794

## Contact information

- **Practice address:** 250 W LANCASTER AVE STE 130, FORT WORTH, TX 76102-6364
- **Practice address phone:** (817) 877-3131
- **Mailing address:** 1429 WALTHAM DR, SOUTHLAKE, TX 76092-9605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/08/2024
- **Last updated:** 03/08/2024