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Individual

EMILY SUE DANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
6726 CAMP BOWIE BLVD., FORT WORTH, TX 76116
(817) 710-7443
Mailing address
6726 CAMP BOWIE BLVD, FORT WORTH, TX 76116
(817) 710-7443

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30151
TX

Other

Enumeration date
07/01/2014
Last updated
06/17/2015
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