Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Harris Southwest Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
HEATHER PRUEMER (CREDENTIALING TEAM LEAD)
(217) 540-8434
Entity
Organization
Contact information
Practice address
7200 RED HAWK CT, FORT WORTH, TX 76132-4106
(817) 294-8092
Mailing address
7200 RED HAWK CT, FORT WORTH, TX 76132-4106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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