| Kayla Tavares, Dds, Pllc | |
|
5540 Sycamore School Rd Ste 336 Fort Worth TX 76123-3061 | |
| (817) 591-0336 | |
| (817) 591-0098 |
| Full Name | Kayla Tavares, Dds, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5540 Sycamore School Rd Ste 336, Fort Worth, Texas |
| Authorized Official Name and Position | Kayla Tavares (OWNER) |
| Authorized Official Contact | 2057450942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Tavares, Dds, Pllc 104 Diablo Dr Burleson TX 76028-6591 Ph: (205) 745-0942 | Kayla Tavares, Dds, Pllc 5540 Sycamore School Rd Ste 336 Fort Worth TX 76123-3061 Ph: (817) 591-0336 |
| NPI Number | 1811515182 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811515182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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