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1831632173
ELSA DENTAL AND ORTHODONTICS, PLLC
FORT WORTH, TX
NPI
1831632173
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Entity Type
Organization
Authorized Contact
RAFFY KOUYOUMDJIAN
Owner
817-529-8151
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2016-11-18
Last Update Date
2016-11-18
Business Address
ELSA DENTAL AND ORTHODONTICS, PLLC
100 E 15TH ST 520
FORT WORTH, TX 76102-6550
Phone number: 817-529-8151
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Mailing Address
ELSA DENTAL AND ORTHODONTICS, PLLC
512 EAST EDINBURG AVENUE A
ELSA, TX 78534
Phone number:
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