| Hometown Dental At Ridgemar | |
|
2374 Mall Cir Fort Worth TX 76116-1543 | |
| (817) 543-2222 | |
| (817) 543-2299 |
| Full Name | Hometown Dental At Ridgemar |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2374 Mall Cir, Fort Worth, Texas |
| Authorized Official Name and Position | Melody Vargas (INUSRANCE COORDINATOR) |
| Authorized Official Contact | 8178342600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Dental At Ridgemar 3825 Yucca Ave Suite 121 Fort Worth TX 76111-6067 Ph: (817) 834-2600 | Hometown Dental At Ridgemar 2374 Mall Cir Fort Worth TX 76116-1543 Ph: (817) 543-2222 |
| NPI Number | 1013275585 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013275585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15987 (Texas) | Primary |
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