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1104939024
FORT WORTH DENTAL
FORT WORTH, TX
NPI
1104939024
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Entity Type
Organization
Authorized Contact
ARTHUR JACKSON MUND
Owner
817-263-0202
Organization Subpart ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 13209)
Enumeration Date
2006-08-16
Last Update Date
2012-10-11
Business Address
FORT WORTH DENTAL
4620 CITYLAKE BLVD W
FORT WORTH, TX 76132-3695
Phone number: 817-263-0202
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Mailing Address
FORT WORTH DENTAL
4620 CITYLAKE BLVD W
FORT WORTH, TX 76132-3695
Phone number: 817-263-0202
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