Organization · Type 2 NPI
E.a. Mitchell D.d.s. Inc.
Dental Clinic/Center · Fort Worth, TX
NPI number
1073722955
Active
Practice location
1511 E Berry St
Fort Worth, TX 76119-3005
Fax (817) 924-5171
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 11041 (TX) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1073722955
E.a. Mitchell D.d.s. Inc.'s National Provider Identifier is 1073722955, issued on May 21, 2007. 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 Aug 22, 2020.