Organization
ESSENTIAL ENDODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER D J YELTON (DENTIST/ OWNER)
(817) 737-7668
Entity
Organization
Contact information
Practice address
3880 HULEN ST STE 310, FORT WORTH, TX 76107-7274
(817) 737-7668
(817) 377-8950
Mailing address
3880 HULEN ST STE 310, FORT WORTH, TX 76107-7274
(817) 737-7668
(817) 377-8950
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558591511
ENDODONTIC
TX
Enumeration date
05/28/2019
Last updated
05/28/2019
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