Organization
FORT WORTH CHILDRENS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK W MORROW D.D.S., M.S.D. (DENTIST)
(817) 569-6633
Entity
Organization
Contact information
Practice address
4200 BRYANT IRVIN RD STE 129, BENBROOK, TX 76109-4212
(817) 569-6633
(817) 569-6636
Mailing address
4200 BRYANT IRVIN RD STE 129, BENBROOK, TX 76109-4212
(817) 569-6633
(817) 569-6636
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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