| Home Town Dental,pa | |
|
6332 Lake Worth Blvd Lake Worth TX 76135-3602 | |
| (817) 237-3222 | |
| Not Available |
| Full Name | Home Town Dental,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6332 Lake Worth Blvd, Lake Worth, Texas |
| Authorized Official Name and Position | Monjit S Guram (OWNER) |
| Authorized Official Contact | 8172373222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Town Dental,pa 6332 Lake Worth Blvd Lake Worth TX 76135-3602 Ph: (817) 237-3222 | Home Town Dental,pa 6332 Lake Worth Blvd Lake Worth TX 76135-3602 Ph: (817) 237-3222 |
| NPI Number | 1770790024 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770790024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15987 (Texas) | Primary |
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