Organization
BELLA FAMILY DENTISTRY PLLC
Active
Other names
Bella Family Dentistry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAL F KHATIB DDS (OFFICER)
(682) 326-0186
Entity
Organization
Contact information
Practice address
5159 WICHITA ST STE 170, FORT WORTH, TX 76119-5686
(682) 326-0186
Mailing address
5159 WICHITA ST STE 170, FORT WORTH, TX 76119-5686
(682) 326-0186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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