Organization
FORT WORTH EMERGENCY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN F LEONG DMD (PRESIDENT)
(347) 860-0087
Entity
Organization
Contact information
Practice address
3613 HULEN ST, FORT WORTH, TX 76107-6813
(817) 731-2179
Mailing address
3613 HULEN ST, FORT WORTH, TX 76107-6813
(817) 731-2179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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