Organization
DECATUR FAMILY DENTAL PA
Active
Other names
Decatur Family Dental PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN AFKAMI DDS (PRESIDENT)
(817) 577-9200
Entity
Organization
Contact information
Practice address
1801 PRECINCT LINE RD, SUITE A, HURST, TX 76054-3170
(817) 577-9200
(817) 281-9231
Mailing address
1801 PRECINCT LINE RD, SUITE A, HURST, TX 76054-3170
(817) 577-9200
(817) 281-9231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20467
TX
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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