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Organization
MINT LEAF DENTAL PLLC
Active
Organization
MINT LEAF DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEPAL PARIKH D.D.S. (MANAGER)
(443) 841-4772
Entity
Organization
Contact information
Practice address
8544 S HULEN ST, FORT WORTH, TX 76123-2741
(443) 841-4772
Mailing address
8216 MALABAR TRL, FORT WORTH, TX 76123-4625
(443) 841-4772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24956
TX
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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