| Home Town Dental Alliance | |
|
8901 Tehama Suite 119 Forth Worth TX 76177 | |
| (817) 834-2600 | |
| Not Available |
| Full Name | Home Town Dental Alliance |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8901 Tehama, Forth Worth, Texas |
| Authorized Official Name and Position | Monjit Guram (BUSINESS OWNER) |
| Authorized Official Contact | 8178342600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Town Dental Alliance 3825 Yucca Ave Suite 101 Forth Worth TX 76111 Ph: (817) 834-2600 | Home Town Dental Alliance 8901 Tehama Suite 119 Forth Worth TX 76177 Ph: (817) 834-2600 |
| NPI Number | 1962877373 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 12/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962877373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |