Organization
PAINLESS DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL MARTINEZ (PROVIDER)
(817) 759-9311
Entity
Organization
Contact information
Practice address
2512 HORNE ST, SUITE C, FORT WORTH, TX 76107-4651
(817) 759-9311
Mailing address
2512 HORNE ST, SUITE C, FORT WORTH, TX 76107-4651
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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