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2717 8th Ave Fort Worth TX 76110-3041 | |
| (817) 924-7670 | |
| (817) 924-7646 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2717 8th Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Anthony Yoon (DENTIST) |
| Authorized Official Contact | 8179247646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2717 8th Ave Fort Worth TX 76110-3041 Ph: (817) 924-7670 | 2717 8th Ave Fort Worth TX 76110-3041 Ph: (817) 924-7670 |
| NPI Number | 1023350188 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 03/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023350188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20948 (Texas) | Primary |
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