Organization
AZTECA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMID JAY SHAFI DDS (OWNER)
(818) 419-5001
Entity
Organization
Contact information
Practice address
4858 SOUTH FWY, FORT WORTH, TX 76115-3901
(817) 534-7325
(817) 534-4429
Mailing address
4858 SOUTH FWY, FORT WORTH, TX 76115-3901
(817) 534-7325
(817) 534-4429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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