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Organization
WEST TEXAS DENTAL FORT WORTH PLLC
Active
Organization
WEST TEXAS DENTAL FORT WORTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILE NGUYEN (OWNER)
(972) 896-9386
Entity
Organization
Contact information
Practice address
6600 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3303
(972) 896-9386
Mailing address
6600 BRENTWOOD STAIR RD, FORT WORTH, TX 76112-3303
(972) 896-9386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22329
TX
Other
Enumeration date
08/06/2016
Last updated
08/06/2016
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