Fort Worth Pediatric Dentistry

NPI 1184632754 - Dentist - 1223P0221X

NPI Details
NPI 1184632754
Enumeration Date 08/03/2006
Last Updated 10/01/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JANELL IRENE JANELL
Position OWNER
Phone (817) 292-5140
Fax
Practice Location
6210 JOHN RYAN DR
STE 100
FORT WORTH TX, 76132-4113, US
Phone (817) 292-5140
Fax
Business Location
6210 JOHN RYAN DR
STE 100
FORT WORTH TX, 76132-4113, US
Phone (817) 292-5140
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State
License Number
Remove 1184632754 NPI Number
 

According to our database, Fort Worth Pediatric Dentistry NPI is 1184632754, taxonomy code is 1223P0221X Fort Worth Pediatric Dentistry physically located at 6210 John Ryan Dr, Fort Worth TX, 76132-4113. NPI Number 1033115704 has the healthcare provider type.

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1184632754 NPI number is provided on an as is basis without warranty of any kind. 1184632754 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Worth Pediatric Dentistry are for informational purposes only.