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Organization
ALTAMESA DENTAL
Active
Organization
ALTAMESA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASA SELZER D.D.S. (PARTNER)
(817) 294-0877
Entity
Organization
Contact information
Practice address
3608 ALTAMESA BLVD, FORT WORTH, TX 76133-5641
(817) 294-0877
Mailing address
3608 ALTAMESA BLVD, FORT WORTH, TX 76133-5641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23259
TX
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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