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Organization
TRACY KIRK DDS, PLLC
Active
Organization
TRACY KIRK DDS, PLLC
Active
Other names
Fossil Creek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE E GOMEZ (OFFICE MANAGER)
(817) 281-3100
Entity
Organization
Contact information
Practice address
6300 N. BEACH ST, FT WORTH, TX 76137
(817) 281-3100
(817) 788-5984
Mailing address
6300 N. BEACH ST, HALTOM CITY, TX 76137
(817) 281-3100
(817) 788-5984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29655
TX
Other
Enumeration date
12/06/2016
Last updated
10/20/2021
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