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Individual

DR. JAMES RALPH MACHOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, M.D.

Contact information

Practice address
9415 N BEACH ST, FORT WORTH, TX 76244-9059
(817) 741-2200
(817) 741-2216
Mailing address
9415 N BEACH ST, FORT WORTH, TX 76244-9059
(817) 741-2200
(817) 741-2216

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
29872
TX

Other

Enumeration date
08/23/2006
Last updated
03/08/2021
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