Organization
COUNTRY DAY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT MCDONALD DDS (OWNER/DENTIST)
(817) 731-9487
Entity
Organization
Contact information
Practice address
4255 BRYANT IRVIN RD, SUITE 111, FORT WORTH, TX 76109-4233
(817) 731-9487
(817) 731-2846
Mailing address
4255 BRYANT IRVIN RD, SUITE 111, FORT WORTH, TX 76109-4233
(817) 731-9487
(817) 731-2846
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12997
TX
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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