Organization
ROBERT B, PEAK, DDS, PLLC
Active
Organization
ROBERT B, PEAK, DDS, PLLC
Active
Other names
Midtown Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCLAUGHLIN (PRACTICE ADMINISTRATOR)
(817) 205-2340
Entity
Organization
Contact information
Practice address
900 JEROME ST, SUITE 140, FORT WORTH, TX 76104-3945
(817) 205-2340
Mailing address
900 JEROME ST, SUITE 140, FORT WORTH, TX 76104-3945
(817) 205-2340
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
16382
TX
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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