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Organization
SHOWTIME FAMILY DENTAL
Active
Organization
SHOWTIME FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA DENISE SMITH D.D.S (DENTIST)
(817) 723-7141
Entity
Organization
Contact information
Practice address
3401 ALTAMESA BLVD, SUITE 128, FORT WORTH, TX 76133-8741
(817) 361-8111
(817) 361-8113
Mailing address
3401 ALTAMESA BLVD, SUITE 128, FORT WORTH, TX 76133-8741
(817) 361-8111
(817) 361-8113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22677
TX
Other
Enumeration date
03/19/2009
Last updated
03/23/2016
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