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Organization

TEXAS DENTURE CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GORDON CLARK DAMON JR. DDS (PRESIDENT)
(806) 584-7991
Entity
Organization

Contact information

Practice address
1414 TEXAS ST, FORT WORTH, TX 76102-3426
(817) 336-2121
Mailing address
1414 TEXAS ST, FORT WORTH, TX 76102-3426
(817) 336-2121

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27147
TX

Other

Enumeration date
02/13/2013
Last updated
02/13/2013
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