ABC123 DENTAL IN HALTOM PLLC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1740569144- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5416 BASSWOOD BLVD, FORT WORTH, TX, 761374400
- Phone
- (817) 656-1215
- Fax
- (877) 687-6861
Specialties & Taxonomies
Dentist
Primary License: TX #24570