Organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Bluebonnet Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
KIM ZUBER (CRED SUPERIVSOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
3980 BOAT CLUB RD STE 114, FORT WORTH, TX 76135-3206
(817) 237-1600
Mailing address
3980 BOAT CLUB RD STE 114, FORT WORTH, TX 76135-3206
(817) 237-1600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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