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1346858198
FPDS LYO PLLC
FORT WORTH, TX
NPI
1346858198
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Entity Type
Organization
Authorized Contact
JEREMY LUSTIG
CEO
214-335-0862
Organization Subpart ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date
2020-07-17
Last Update Date
2020-07-17
Business Address
FPDS LYO PLLC
8450 PARK VISTA BLVD
FORT WORTH, TX 76137-5731
Phone number: 817-514-1717
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Mailing Address
FPDS LYO PLLC
3575 LONE STAR CIR STE 310
FORT WORTH, TX 76177-8908
Phone number: 817-350-6500
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