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1770790024
HOME TOWN DENTAL,PA
LAKE WORTH, TX
NPI
1770790024
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Entity Type
Organization
Authorized Contact
MONJIT S GURAM
Owner
817-237-3222
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15987)
Enumeration Date
2007-05-17
Last Update Date
2007-09-12
Business Address
HOME TOWN DENTAL,PA
6332 LAKE WORTH BLVD
LAKE WORTH, TX 76135-3602
Phone number: 817-237-3222
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Mailing Address
HOME TOWN DENTAL,PA
6332 LAKE WORTH BLVD
LAKE WORTH, TX 76135-3602
Phone number: 817-237-3222
Copy
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