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Organization

BLUEBONNET DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
POONEH NAJAFI D.D.S. (PRESIDENT/DENTIST)
(817) 237-1600
Entity
Organization

Contact information

Practice address
3980 BOAT CLUB RD STE 114, LAKE WORTH, TX 76135-3206
(817) 237-1600
(817) 237-2604
Mailing address
3980 BOAT CLUB RD STE 114, LAKE WORTH, TX 76135-3206
(817) 237-1600
(817) 237-2604

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20085
TX

Other

Enumeration date
11/09/2011
Last updated
11/09/2011
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