Individual
DR. SHEILA T BIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S. M.S.
Contact information
Practice address
5407 BASSWOOD BLVD STE 107, FORT WORTH, TX 76137-4499
(817) 348-0910
(817) 348-0422
Mailing address
5407 BASSWOOD BLVD STE 107, FORT WORTH, TX 76137-4499
(817) 348-0910
(817) 348-0422
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
07979621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091086103
—
TX
05
—
172836201
—
TX
Enumeration date
04/23/2007
Last updated
09/15/2011
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