| NPI | 1871646158 |
|---|---|
| Doing Business As | NORTH TARRANT OMFS |
| Entity Type | Organization |
| Authorized Contact | FRED ANDERSON LOE Owner 817-237-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 17581) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-02-11 |