# E.Q. DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740561000
- **Authorized official:** DR. THOMAS YOUNG DDS (DENTIST)
- **Authorized official phone:** (817) 741-4567

## Contact information

- **Practice address:** 3529 HERITAGE TRACE PKWY, 171, FORT WORTH, TX 76244-4970
- **Practice address phone:** (817) 741-4567
- **Practice address fax:** (817) 741-4576
- **Mailing address:** 3529 HERITAGE TRACE PKWY, 171, FORT WORTH, TX 76244-4970
- **Mailing address phone:** (817) 741-4567
- **Mailing address fax:** (817) 741-4576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 23321 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2011
- **Last updated:** 08/31/2011