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Individual

KEROLOS ZAKLAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3980 BOAT CLUB RD STE 114, FORT WORTH, TX 76135-3206
(817) 237-1600
Mailing address
3980 BOAT CLUB RD STE 114, FORT WORTH, TX 76135-3206
(817) 237-1600

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35636
TX

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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