Individual
DR. ATUL M MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1612 NW 28TH ST, FORT WORTH, TX 76164-6843
(817) 625-2636
(817) 625-2276
Mailing address
1612 NW 28TH ST, FORT WORTH, TX 76164-6843
(817) 625-2636
(817) 625-2276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091167901
—
TX
05
—
091167902
—
TX
05
—
091167903
—
TX
Enumeration date
05/23/2008
Last updated
05/23/2008
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