Organization
DAV ROW ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE DAVILA DDS (OWNER)
(817) 370-1314
Entity
Organization
Contact information
Practice address
6263 MCCART AVE, 200, FORT WORTH, TX 76133-4200
(817) 370-1314
(817) 370-1344
Mailing address
6263 MCCART AVE, 200, FORT WORTH, TX 76133-4200
(817) 370-1314
(817) 370-1344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538476858
NPI
—
Enumeration date
01/15/2015
Last updated
01/15/2015
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