Individual
EDWARD PALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
9587 SAGE MEADOW TRL, FORT WORTH, TX 76177-8595
(817) 522-0352
Mailing address
9587 SAGE MEADOW TRL, FORT WORTH, TX 76177-8595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30851
TX
Other
Enumeration date
05/15/2015
Last updated
09/20/2018
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