FORT WORTH DENTAL CARE PLLC NPI 1972001048

NPI Information

FORT WORTH DENTAL CARE PLLC is a dental clinic center in Fort Worth, TX. FORT WORTH DENTAL CARE PLLC NPI is 1972001048. The provider is registered as an organization entity type.

The provider's business location address is:

3646 GRANBURY RD # 104
FORT WORTH, TX
ZIP 76109-717
Phone: (817) 923-4606
Fax: (817) 923-5593

The provider's authorized official is Stephen Gatlin Brogdon .
The authorized official title is Owner and has the following contact phone number (817) 923-4606.

The enumeration date for this NPI number is 1/24/2018 and was last updated on 1/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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