# FORT WORTH EMERGENCY DENTAL CARE USA MANAGEMENT INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emergency Dental Care USA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730587304
- **Authorized official:** MICHAEL OBENG (MANAGER)
- **Authorized official phone:** (402) 393-2726

## Contact information

- **Practice address:** 5334 N TARRANT PKWY, FORT WORTH, TX 76244-6293
- **Practice address phone:** (817) 581-3411
- **Mailing address:** 4245 S 143RD CIR, SUITE 7, OMAHA, NE 68137-4516
- **Mailing address phone:** (402) 393-2726

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2014
- **Last updated:** 12/15/2014