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1497337471
COSMETIC SURGERY OF DFW PLLC
FORT WORTH, TX
NPI
1497337471
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Entity Type
Organization
Authorized Contact
DUSTIN DERRICK
Owner
817-529-4314
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
COSMETIC SURGERY OF DFW PLLC
800 12TH AVE STE 100
FORT WORTH, TX 76104-2519
Phone number: 817-529-4314
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Mailing Address
COSMETIC SURGERY OF DFW PLLC
800 12TH AVE STE 100
FORT WORTH, TX 76104-2519
Phone number: 817-529-4314
Copy
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