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1750933115
SMILES OF FORT WORTH, LLC
FORT WORTH, TX
NPI
1750933115
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Entity Type
Organization
Authorized Contact
JESUS ALVARADO
Office Manager
814-457-4078
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-07-15
Last Update Date
2019-07-15
Business Address
SMILES OF FORT WORTH, LLC
5601 BRIDGE ST STE 480
FORT WORTH, TX 76112-2351
Phone number: 817-457-4078
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Mailing Address
SMILES OF FORT WORTH, LLC
PO BOX 4400
SALEM, OR 97302-8400
Phone number: 817-457-4078
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