| Altamesa Dental | |
|
3608 Altamesa Blvd Fort Worth TX 76133-5641 | |
| (817) 294-0877 | |
| Not Available |
| Full Name | Altamesa Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3608 Altamesa Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Asa Selzer (PARTNER) |
| Authorized Official Contact | 8172940877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Altamesa Dental 3608 Altamesa Blvd Fort Worth TX 76133-5641 Ph: () - | Altamesa Dental 3608 Altamesa Blvd Fort Worth TX 76133-5641 Ph: (817) 294-0877 |
| NPI Number | 1689901704 |
|---|---|
| Provider Enumeration Date | 11/10/2009 |
| Last Update Date | 11/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689901704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23259 (Texas) | Primary |
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