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Organization

SKDR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEVARSHEE PATEL DDS (DDS/ OWNER)
(817) 367-9333
Entity
Organization

Contact information

Practice address
2700 WESTERN CENTER BLVD STE 128, FORT WORTH, TX 76131-4300
(817) 367-9333
(817) 259-0052
Mailing address
2700 WESTERN CENTER BLVD STE 128, FORT WORTH, TX 76131-4300

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/05/2024
Last updated
11/05/2024
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