# HALLMARK FAMILY DENTAL PA

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

## Provider details

- **NPI number:** 1801261003
- **Authorized official:** DR. KAIVAN KEVIN AFKAMI (PRESIDENT)
- **Authorized official phone:** (817) 577-9200

## Contact information

- **Practice address:** 105 BELLVUE DR, FT WORTH, TX 76134-5416
- **Practice address phone:** (817) 293-2088
- **Mailing address:** 1801 PRECINCT LINE RD STE A, HURST, TX 76054-3171
- **Mailing address phone:** (817) 577-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 20467 | TX | Yes |

## Other

- **Enumeration date:** 12/14/2015
- **Last updated:** 12/14/2015