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Organization
1ST DENTAL & ORTHODONTICS
Active
Organization
1ST DENTAL & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR FETOUH DDS (OWNER)
(716) 348-9855
Entity
Organization
Contact information
Practice address
5540 SYCAMORE SCHOOL RD STE 324, FORT WORTH, TX 76123-3060
(817) 725-7500
Mailing address
5540 SYCAMORE SCHOOL RD STE 324, FORT WORTH, TX 76123-3060
(817) 725-7500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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