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Organization
MITCH CONDITT DDS PLLC
Active
Organization
MITCH CONDITT DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCH CONDITT DDS (DOCTOR/OWNER)
(817) 737-5155
Entity
Organization
Contact information
Practice address
6316 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5418
(817) 737-5155
(817) 737-4095
Mailing address
6316 CAMP BOWIE BLVD, 2ND FLOOR, FORT WORTH, TX 76116-5418
(817) 737-5155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14612
TX
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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