CC DENTAL PC

FT WORTH, TX
NPI1851569297
Entity TypeOrganization
Authorized ContactTY DOUGLAS SHAFER
Owner
817-737-8731
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2008-02-20
Last Update Date2008-02-20
Business Address
CC DENTAL PC
1051 HASKELL ST
FT WORTH, TX 76107
Phone number: 817-737-8731
Mailing Address
CC DENTAL PC
PO BOX 93653
SOUTHLAKE, TX 76092-0115
Phone number: 817-737-8731
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