Home Town Dental,pa | |
6332 Lake Worth Lake Worth TN 76135 | |
(817) 237-3222 | |
(817) 237-0101 |
Full Name | Home Town Dental,pa |
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Speciality | Dentist - General Practice |
Location | 6332 Lake Worth, Lake Worth, Tennessee |
Authorized Official Name and Position | Patty Sanchez (MANAGER) |
Authorized Official Contact | 8172373222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Home Town Dental,pa 6332 Lake Worth Blvd Fort Worth TX 76135-3602 Ph: (817) 237-3222 | Home Town Dental,pa 6332 Lake Worth Lake Worth TN 76135 Ph: (817) 237-3222 |
NPI Number | 1316134125 |
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Provider Enumeration Date | 09/26/2007 |
Last Update Date | 07/30/2008 |
Identifier | Type | State | Issuer |
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1316134125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |