Organization
NAVARRO ORTHODONTICS OF FORTWORTH,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS F NAVARRO D.D.S, M.S.D (PRESIDENT)
(214) 526-3363
Entity
Organization
Contact information
Practice address
815 E BERRY ST, SUITE A, FORTWORTH, TX 76110-4414
(817) 916-5820
(817) 916-5822
Mailing address
4514 COLE AVE STE 910, SUITE A, DALLAS, TX 75205
(214) 526-3363
(214) 520-7753
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216878301
—
TX
Enumeration date
04/28/2010
Last updated
04/06/2011
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