Organization
UPTOWN ENDODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL PETERSON DDS (OWNER)
(817) 461-4292
Entity
Organization
Contact information
Practice address
906 N FIELDER RD, ARLINGTON, TX 76012-3195
(817) 461-4292
(817) 276-0229
Mailing address
906 NORTH FIELDER ROAD, ARLINGTON, TX 76012
(817) 461-4292
(817) 276-0229
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18969
TX
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
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