Organization
ALTA MERE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANTHONY RESASCO (OWNER)
(480) 646-6004
Entity
Organization
Contact information
Practice address
550 ALTA MERE DR, FORT WORTH, TX 76114-4053
(480) 646-6004
Mailing address
550 ALTA MERE DR, FORT WORTH, TX 76114-4053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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