Organization
HALLMARK FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAIVAN KEVIN AFKAMI (PRESIDENT)
(817) 577-9200
Entity
Organization
Contact information
Practice address
105 BELLVUE DR, FT WORTH, TX 76134-5416
(817) 293-2088
Mailing address
1801 PRECINCT LINE RD STE A, HURST, TX 76054-3171
(817) 577-9200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20467
TX
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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