Organization
ALL DENTISTRY III PLLC
Active
Other names
PALM BEACH DENTAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
CHI T LE DDS (OWNER)
(817) 759-1516
Entity
Organization
Contact information
Practice address
3829 MARIGOLD AVE, FORT WORTH, TX 76111-4944
(817) 759-1516
Mailing address
3829 MARIGOLD AVE, FORT WORTH, TX 76111-4944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20159
TX
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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