| Mini Joseph Dds Pllc | |
|
2977 South Precinct Line Road Suite 213 Fort Worth TX 76118-7611 | |
| (817) 595-9600 | |
| (817) 595-9600 |
| Full Name | Mini Joseph Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2977 South Precinct Line Road, Fort Worth, Texas |
| Authorized Official Name and Position | Mini Joseph (OWNER) |
| Authorized Official Contact | 4153074671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mini Joseph Dds Pllc 506 Beverly Dr Coppell TX 75019-6367 Ph: (972) 878-3984 | Mini Joseph Dds Pllc 2977 South Precinct Line Road Suite 213 Fort Worth TX 76118-7611 Ph: (817) 595-9600 |
| NPI Number | 1538689799 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 06/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538689799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 25154 (Texas) | Primary |
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