| J. Walton Lawrence, Jr., D.d.s., Inc. | |
|
2512 Horne St Ste C Fort Worth TX 76107-4651 | |
| (817) 737-6601 | |
| (817) 737-6446 |
| Full Name | J. Walton Lawrence, Jr., D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2512 Horne St Ste C, Fort Worth, Texas |
| Authorized Official Name and Position | James Walton Lawrence (DENTIST) |
| Authorized Official Contact | 8177376601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Walton Lawrence, Jr., D.d.s., Inc. 2512 Horne St Ste C Fort Worth TX 76107-4651 Ph: (817) 737-6601 | J. Walton Lawrence, Jr., D.d.s., Inc. 2512 Horne St Ste C Fort Worth TX 76107-4651 Ph: (817) 737-6601 |
| NPI Number | 1003998170 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003998170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7503 (Texas) | Primary |
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