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Organization

DENTISTRY ON WESTERN CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADRIENNE DOUGLAS JENNINGS DDS (DENTIST/OWNER)
(817) 847-1131
Entity
Organization

Contact information

Practice address
2700 WESTERN CENTER BLVD STE 128, FORT WORTH, TX 76131-4300
(817) 847-1131
Mailing address
2700 WESTERN CENTER BLVD STE 128, FORT WORTH, TX 76131-4300
(817) 847-1131

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26374
TX

Other

Enumeration date
05/06/2016
Last updated
04/08/2020
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