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1225582000
MITRA BEHZADI
FORT WORTH, TX
NPI
1225582000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 32045)
Enumeration Date
2016-08-09
Last Update Date
2017-04-05
Business Address
-- MITRA BEHZADI DDS
5416 BASSWOOD BLVD
FORT WORTH, TX 76137-4400
Phone number: 817-656-1215
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Mailing Address
-- MITRA BEHZADI DDS
5416 BASSWOOD BLVD
FORT WORTH, TX 76137-4400
Phone number: 817-656-1215
Copy
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