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5416 Basswood Blvd Fort Worth TX 76137-4400 | |
| (817) 656-1215 | |
| (877) 230-8349 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5416 Basswood Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Peter T Vo (OWNER) |
| Authorized Official Contact | 8176561215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5416 Basswood Blvd Fort Worth TX 76137-4400 Ph: (817) 656-1215 | 5416 Basswood Blvd Fort Worth TX 76137-4400 Ph: (817) 656-1215 |
| NPI Number | 1003234238 |
|---|---|
| Provider Enumeration Date | 04/04/2014 |
| Last Update Date | 04/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003234238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24637 (Texas) | Primary |
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