Birth Fletcher Oral Surgery Keller

NPI 1053743518 - Dentist - 1223S0112X

NPI Details
NPI 1053743518
Enumeration Date 08/06/2013
Last Updated 11/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CRISTI CRISTI
Position ORTHODONTIST
Phone (817) 479-0541
Fax
Practice Location
4420 HERITAGE TRACE PKWY STE 300
FORT WORTH TX, 76244-8904, US
Phone (817) 479-0541
Fax
Business Location
4420 HERITAGE TRACE PKWY STE 300
FORT WORTH TX, 76244-8904, US
Phone (817) 479-0541
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Texas
License Number 22279
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According to our database, Birth Fletcher Oral Surgery Keller NPI is 1053743518, taxonomy code is 1223S0112X and license number is 22279, license state is located at Texas. Birth Fletcher Oral Surgery Keller physically located at 4420 Heritage Trace Pkwy Ste 300, Fort Worth TX, 76244-8904. NPI Number 1033115704 has the healthcare provider type.

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1053743518 NPI number is provided on an as is basis without warranty of any kind. 1053743518 is maintained by the National Plan & Provider Enumeration System. The contents of Birth Fletcher Oral Surgery Keller are for informational purposes only.