Organization · Type 2 NPI
Smiles of Fort Worth, LLC
Dental Clinic/Center · Fort Worth, TX
NPI number
1750933115
Active
Practice location
5601 Bridge St Ste 480
Fort Worth, TX 76112-2351
Mailing address
PO Box 4400
Salem, OR 97302-8400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1750933115
Smiles of Fort Worth, LLC's National Provider Identifier is 1750933115, issued on Jul 15, 2019. 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 Jul 15, 2019.