Individual
SAMANTHA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSDH, OMT
Contact information
Practice address
6328 MALVEY AVE, FORT WORTH, TX 76116-4509
(817) 781-3350
Mailing address
6328 MALVEY AVE, FORT WORTH, TX 76116-4509
(817) 781-3350
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
21351
TX
174400000X
Specialist
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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