| Altamesa Dental Home Pllc | |
|
2101 Altamesa Blvd # 103 Fort Worth TX 76134-3328 | |
| (423) 946-9375 | |
| Not Available |
| Full Name | Altamesa Dental Home Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2101 Altamesa Blvd # 103, Fort Worth, Texas |
| Authorized Official Name and Position | Rohit Narayan (OWNER/DENTIST) |
| Authorized Official Contact | 4239469375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Altamesa Dental Home Pllc 2101 Altamesa Blvd # 103 Fort Worth TX 76134-3328 Ph: () - | Altamesa Dental Home Pllc 2101 Altamesa Blvd # 103 Fort Worth TX 76134-3328 Ph: (423) 946-9375 |
| NPI Number | 1174116974 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174116974 | NPI | - | NPPES |
| 26309 | Other | TX | DENTAL LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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