| NPI | 1265157978 |
|---|---|
| Doing Business As | FRESH SMILES OF FORT WORTH ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | GUNJAN DHIR Owner 817-809-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-07 |