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2421 W 7th St Ste 103 Ft Worth TX 76107-2325 | |
(817) 529-1600 | |
(817) 529-1601 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 2421 W 7th St Ste 103, Ft Worth, Texas |
Authorized Official Name and Position | Clinton F Herzog (CEO) |
Authorized Official Contact | 2148717100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2421 W 7th St Ste 103 Ft Worth TX 76107-2325 Ph: (817) 529-1600 | 2421 W 7th St Ste 103 Ft Worth TX 76107-2325 Ph: (817) 529-1600 |
NPI Number | 1760781595 |
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Provider Enumeration Date | 03/18/2011 |
Last Update Date | 03/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760781595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 20239 (Texas) | Secondary |
122300000X | Dentist | 25784 (Texas) | Secondary |
1223G0001X | Dentist - General Practice | 20239 (Texas) | Primary |
Edward N. Reiter, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8620 Calmont Ave, Ft Worth, TX 76116 Phone: 817-244-6315 Fax: 817-244-4530 | |
Robert Batton Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Hulen, Bldg D4, Ft Worth, TX 76107 Phone: 817-732-6622 Fax: 817-732-6639 | |
Rsq Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2904 E Berry St, Ft Worth, TX 76105 Phone: 469-765-8050 |