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Organization

DENTAL ASSOCIATES OF FORT WORTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUDY ALBERTO SANTILLANA DMD (DENTIST/OWNER)
(817) 924-7670
Entity
Organization

Contact information

Practice address
3548 S HILLS AVE STE 17, FORT WORTH, TX 76109-2838
(817) 924-7670
(817) 924-7646
Mailing address
1505 BIRCHMONT LN, KELLER, TX 76248-8210
(817) 924-7670
(817) 924-7670

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/18/2019
Last updated
12/19/2024
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