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1851773857
MINI APPLE DENTAL ENTERPRISE PLLC
FORT WORTH, TX
NPI
1851773857
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Entity Type
Organization
Authorized Contact
JACOB SISOMBATH
Owner
612-735-3712
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 25064)
Enumeration Date
2015-06-25
Last Update Date
2015-07-02
Business Address
MINI APPLE DENTAL ENTERPRISE PLLC
911 N SYLVANIA AVE #150
FORT WORTH, TX 76111
Phone number: 612-735-3712
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Mailing Address
MINI APPLE DENTAL ENTERPRISE PLLC
911 N SYLVANIA AVE SUITE #150
FORT WORTH, TX 76111-2459
Phone number: 612-735-3712
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