| Cowtown Dental | |
|
2717 8th Ave. Fort Worth TX 76110 | |
| (954) 591-0298 | |
| Not Available |
| Full Name | Cowtown Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2717 8th Ave., Fort Worth, Texas |
| Authorized Official Name and Position | Kim Thi Van (PRESIDENT) |
| Authorized Official Contact | 9545910298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowtown Dental 2530 Sara Jane Pkwy Apt 333 Grand Prairie TX 75052-8604 Ph: (954) 591-0298 | Cowtown Dental 2717 8th Ave. Fort Worth TX 76110 Ph: (954) 591-0298 |
| NPI Number | 1225282320 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225282320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23133 (Texas) | Primary |
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