Organization · Type 2 NPI
Fort Worth Dental Care PLLC
Dental Clinic/Center · Fort Worth, TX
NPI number
1972001048
Active
Practice location
3646 Granbury Rd # 104
Fort Worth, TX 76109-3717
Fax (817) 923-5593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 17178 (TX) |
Dental Clinic/Center: Definition to come...
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About NPI 1972001048
Fort Worth Dental Care PLLC's National Provider Identifier is 1972001048, issued on Jan 24, 2018. 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 24, 2018.