Individual
ANDREA UGLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2700 HORNE ST STE 120, FORT WORTH, TX 76107-4604
(817) 310-2024
Mailing address
2700 HORNE ST STE 120, FORT WORTH, TX 76107-4604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35216
TX
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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