Organization
KAYLA TAVARES, DDS, PLLC
Active
Other names
Cornerstone Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYLA TAVARES DDS, MDS (OWNER)
(205) 745-0942
Entity
Organization
Contact information
Practice address
5540 SYCAMORE SCHOOL RD STE 336, FORT WORTH, TX 76123-3061
(817) 591-0336
(817) 591-0098
Mailing address
104 DIABLO DR, BURLESON, TX 76028-6591
(205) 745-0942
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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