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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