| Fort Worth Pediatric Dentistry | |
|
6210 John Ryan Dr Ste 100 Fort Worth TX 76132-4113 | |
| (817) 292-5140 | |
| Not Available |
| Full Name | Fort Worth Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6210 John Ryan Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Janell Irene Plocheck (OWNER) |
| Authorized Official Contact | 8172925140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Pediatric Dentistry 6210 John Ryan Dr Ste 100 Fort Worth TX 76132-4113 Ph: (817) 292-5140 | Fort Worth Pediatric Dentistry 6210 John Ryan Dr Ste 100 Fort Worth TX 76132-4113 Ph: (817) 292-5140 |
| NPI Number | 1184632754 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184632754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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