Organization
SUNNY SIDE OF THE STREET PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYFFANI TYNNEIL PALMER DDS (OWNER)
(817) 799-8778
Entity
Organization
Contact information
Practice address
5725 GOLDEN TRIANGLE BLVD, FORT WORTH, TX 76244-4473
(817) 799-8778
(817) 799-6671
Mailing address
5801 GOLDEN TRIANGLE BLVD STE 103, FORT WORTH, TX 76244-4411
(817) 799-8778
(817) 799-6671
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/29/2023
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