Organization
E.A. MITCHELL D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E. A. MITCHELL D.D.S. (PRESIDENT)
(817) 924-7171
Entity
Organization
Contact information
Practice address
1511 E BERRY ST, FORT WORTH, TX 76119-3005
(817) 924-7171
(817) 924-5171
Mailing address
1511 E BERRY ST, FORT WORTH, TX 76119-3005
(817) 924-7171
(817) 924-5171
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11041
TX
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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