Individual
MRS. ANITA MISRA PAULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.P,C
Contact information
Practice address
4901 BYERS AVENUE, FORT WORTH, TX 76107
(817) 738-2163
(817) 738-9541
Mailing address
4901 BYERS AVE, FORT WORTH, TX 76107-4148
(817) 738-2163
(817) 738-9541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16372
TX
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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