# ELIZABETH LABORDE DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clearfork Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881156164
- **Authorized official:** DR. ELIZABETH LABORDE DDS (PEDIATRIC DENTIST/OWNER)
- **Authorized official phone:** (214) 226-8732

## Contact information

- **Practice address:** 5656 EDWARDS RANCH RD, FORT WORTH, TX 76109
- **Practice address phone:** (214) 226-8732
- **Mailing address:** 321 N BAILEY AVE, FORT WORTH, TX 76107-1001
- **Mailing address phone:** (214) 226-8732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2019
- **Last updated:** 04/04/2019