# KAYLA TAVARES, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornerstone Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811515182
- **Authorized official:** DR. KAYLA TAVARES DDS, MDS (OWNER)
- **Authorized official phone:** (205) 745-0942

## Contact information

- **Practice address:** 5540 SYCAMORE SCHOOL RD STE 336, FORT WORTH, TX 76123-3061
- **Practice address phone:** (817) 591-0336
- **Practice address fax:** (817) 591-0098
- **Mailing address:** 104 DIABLO DR, BURLESON, TX 76028-6591
- **Mailing address phone:** (205) 745-0942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 07/13/2020