Individual
ASHKON MASROURROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3204 N MAIN ST STE 120, FORT WORTH, TX 76106-5900
(817) 380-5574
Mailing address
3204 N MAIN ST STE 120, FORT WORTH, TX 76106-5900
(817) 380-5574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39288
TX
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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