Organization · Type 2 NPI

Country Day Dental

Dental Clinic/Center · Fort Worth, TX

NPI number 1003186495 Active

Practice location

4255 Bryant Irvin Rd, Suite 111
Fort Worth, TX 76109-4233

Fax (817) 731-2846

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X12997 (TX)

Dental Clinic/Center: Definition to come...

14 other providers at this address

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About NPI 1003186495

Country Day Dental's National Provider Identifier is 1003186495, issued on Jan 3, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 3, 2012.