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Organization
KAYLA TAVARES, DDS, PLLC
Active
Organization
KAYLA TAVARES, DDS, PLLC
Active
Other names
Cornerstone Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYLA TAVARES DDS, MDS (OWNER)
(205) 745-0942
Entity
Organization
Contact information
Practice address
5540 SYCAMORE SCHOOL RD STE 336, FORT WORTH, TX 76123-3061
(817) 591-0336
(817) 591-0098
Mailing address
104 DIABLO DR, BURLESON, TX 76028-6591
(205) 745-0942
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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