Organization
BIRTH FLETCHER ORAL SURGERY KELLER
Active
Organization
BIRTH FLETCHER ORAL SURGERY KELLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTI FLETCHER DDS, MS (ORTHODONTIST)
(817) 479-0541
Entity
Organization
Contact information
Practice address
4420 HERITAGE TRACE PKWY STE 300, FORT WORTH, TX 76244-8904
(817) 479-0541
Mailing address
4420 HERITAGE TRACE PKWY STE 300, FORT WORTH, TX 76244-8904
(817) 479-0541
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19486
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22279
TX
Other
Enumeration date
08/06/2013
Last updated
11/04/2013
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