Organization
CLINTON HYATT, DDS, PC
Active
Other names
Hyatt Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON HYATT DDS (OWNER)
(817) 589-0496
Entity
Organization
Contact information
Practice address
8711 BEDFORD EULESS RD, HURST, TX 76053-3851
(817) 589-0496
Mailing address
8711 BEDFORD EULESS RD, HURST, TX 76053-3851
(817) 589-0496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25554
TX
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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