| Mitch Conditt Dds Pllc | |
|
6316 Camp Bowie Blvd Fort Worth TX 76116-5418 | |
| (817) 737-5155 | |
| (817) 737-4095 |
| Full Name | Mitch Conditt Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6316 Camp Bowie Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Mitch Conditt (DOCTOR/OWNER) |
| Authorized Official Contact | 8177375155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitch Conditt Dds Pllc 6316 Camp Bowie Blvd 2nd Floor Fort Worth TX 76116-5418 Ph: (817) 737-5155 | Mitch Conditt Dds Pllc 6316 Camp Bowie Blvd Fort Worth TX 76116-5418 Ph: (817) 737-5155 |
| NPI Number | 1659784395 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659784395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14612 (Texas) | Primary |
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