# FORT WORTH SMILEBAR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SMILE NINJA, PLLC
- **Other names:** Smile Ninja Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740813195
- **Legal business name:** SMILE NINJA, PLLC
- **Authorized official:** JUSTIN D MUND DDS (OWNER)
- **Authorized official phone:** (817) 916-4431

## Contact information

- **Practice address:** 550 ALTA MERE DR, FORT WORTH, TX 76114-4053
- **Practice address phone:** (817) 286-0044
- **Mailing address:** 220 E SEMINARY DR STE 100, FT WORTH, TX 76115-2653
- **Mailing address phone:** (817) 916-4431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 02/13/2020
- **Last updated:** 02/13/2020