Carissa Michelle West DDS

NPI 1588893424 - Dentist - 1223G0001X

NPI Details
NPI 1588893424
Gender Female
Enumeration Date 07/14/2009
Last Updated 07/14/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1051 HASKELL ST. STE. 101
FORT WORTH TX, 76107, US
Phone (817) 737-8731
Fax
Business Location
6720 HUDSON CEMETARY RD.
MANSFIELD TX, 76063, US
Phone (817) 313-5117
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 24712
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According to our database, Carissa Michelle West DDS NPI is 1588893424, taxonomy code is 1223G0001X and license number is 24712, license state is located at Texas. Carissa Michelle West DDS physically located at 1051 Haskell St. Ste. 101, Fort Worth TX, 76107. NPI Number Carissa Michelle West DDS has the Individual type.

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1588893424 NPI number is provided on an as is basis without warranty of any kind. 1588893424 is maintained by the National Plan & Provider Enumeration System. The contents of Carissa Michelle West DDS are for informational purposes only.