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Organization

HOME TOWN DENTAL,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATTY SANCHEZ (MANAGER)
(817) 237-3222
Entity
Organization

Contact information

Practice address
6332 LAKE WORTH, LAKE WORTH, TN 76135
(817) 237-3222
(817) 237-0101
Mailing address
6332 LAKE WORTH BLVD, FORT WORTH, TX 76135-3602
(817) 237-3222
(817) 237-0101

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/26/2007
Last updated
07/30/2008
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