Individual
DR. ELIZABETH GOLD RECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4200 BRYANT IRVIN RD, SUITE 129, FORT WORTH, TX 76109
(817) 731-6964
Mailing address
4200 BRYANT IRVIN RD STE 129, FORT WORTH, TX 76109-4212
(817) 731-6964
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25597
TX
1223P0221X
Pediatric Dentistry
Primary
25597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031908
—
TX
Enumeration date
06/29/2010
Last updated
08/28/2018
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