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1174185268
MELODY NIGHTINGALE BASTA
FORT WORTH, TX
NPI
1174185268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 35160)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
MELODY NIGHTINGALE BASTA DDS
5800 N TARRANT PKWY STE 102
FORT WORTH, TX 76244-8003
Phone number: 817-581-6453
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Mailing Address
MELODY NIGHTINGALE BASTA DDS
7831 SOUTHFORK BND
IRVING, TX 75063-4882
Phone number: 409-543-3603
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