Dentists Of Lake Worth Pc | |
6532 Lake Worth Blvd Lake Worth TX 76135-3002 | |
(817) 778-0117 | |
(817) 778-4041 |
Full Name | Dentists Of Lake Worth Pc |
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Speciality | Dentist |
Location | 6532 Lake Worth Blvd, Lake Worth, Texas |
Authorized Official Name and Position | John S Barnes (OWNER) |
Authorized Official Contact | 8177780117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentists Of Lake Worth Pc Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8500 | Dentists Of Lake Worth Pc 6532 Lake Worth Blvd Lake Worth TX 76135-3002 Ph: (817) 778-0117 |
NPI Number | 1154827764 |
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Provider Enumeration Date | 04/03/2018 |
Last Update Date | 08/25/2022 |
Identifier | Type | State | Issuer |
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1154827764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12406 (Texas) | Primary |
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