Organization
FORT WORTH EMERGENCY DENTAL CARE USA MANAGEMENT INC.
Active
Other names
Emergency Dental Care USA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OBENG (MANAGER)
(402) 393-2726
Entity
Organization
Contact information
Practice address
5334 N TARRANT PKWY, FORT WORTH, TX 76244-6293
(817) 581-3411
Mailing address
4245 S 143RD CIR, SUITE 7, OMAHA, NE 68137-4516
(402) 393-2726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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