Organization
DOUGLAS JENNINGS DENTAL CORPORATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE JENNINGS DDS, MS (OWNER)
(214) 476-8007
Entity
Organization
Contact information
Practice address
2700 WESTERN CENTER BLVD STE 128, FORT WORTH, TX 76131-4300
(817) 847-1131
Mailing address
2700 WESTERN CENTER BLVD STE 128, FORT WORTH, TX 76131-4300
(817) 847-1131
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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