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Organization

HURST CITY FAMILY AND COSMETIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTIAN UMUNNA NWOKORIE DMD (CEO)
(347) 439-8901
Entity
Organization

Contact information

Practice address
331 W HARWOOD RD STE A, HURST, TX 76054-3048
(817) 369-3290
(817) 369-3292
Mailing address
2100 REEVES RD, DECATUR, TX 76234-3855
(940) 627-8400
(940) 627-8402

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25799
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
215320712
TX
Enumeration date
08/28/2014
Last updated
08/28/2014
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