Hometown Dental At Ridgemar

NPI 1013275585 - Dentist - 1223G0001X

NPI Details
NPI 1013275585
Enumeration Date 05/02/2012
Last Updated 05/02/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MELODY MELODY
Position INUSRANCE COORDINATOR
Phone (817) 543-2222
Fax (817) 543-2299
Practice Location
2374 MALL CIR
FORT WORTH TX, 76116-1543, US
Phone (817) 543-2222
Fax (817) 543-2299
Business Location
3825 YUCCA AVE
SUITE 121
FORT WORTH TX, 76111-6067, US
Phone (817) 834-2600
Fax (817) 834-2607
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 15987
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According to our database, Hometown Dental At Ridgemar NPI is 1013275585, taxonomy code is 1223G0001X and license number is 15987, license state is located at Texas. Hometown Dental At Ridgemar physically located at 2374 Mall Cir, Fort Worth TX, 76116-1543. NPI Number 1033115704 has the healthcare provider type.

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1013275585 NPI number is provided on an as is basis without warranty of any kind. 1013275585 is maintained by the National Plan & Provider Enumeration System. The contents of Hometown Dental At Ridgemar are for informational purposes only.