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Organization

MINI JOSEPH DDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MINI JOSEPH DDS (OWNER)
(415) 307-4671
Entity
Organization

Contact information

Practice address
2977 SOUTH PRECINCT LINE ROAD, SUITE 213, FORT WORTH, TX 76118-7611
(817) 595-9600
(817) 595-9600
Mailing address
506 BEVERLY DR, COPPELL, TX 75019-6367
(972) 878-3984

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
25154
TX

Other

Enumeration date
06/20/2017
Last updated
06/20/2017
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