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Organization
SHOWTIME DENTAL PLLC
Active
Organization
SHOWTIME DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN R BHUVA DDS (DENTIST)
(917) 331-1262
Entity
Organization
Contact information
Practice address
3401 ALTAMESA BLVD STE 128, FORT WORTH, TX 76133-5773
(817) 361-8111
Mailing address
3401 ALTAMESA BLVD STE 128, FORT WORTH, TX 76133-5773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29237
TX
Other
Enumeration date
03/14/2018
Last updated
06/28/2023
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