| Woodhaven General And Cosmetic Dentistry | |
|
5109 Brentwood Stair Rd Ft Worth TX 76112-2809 | |
| (817) 457-4078 | |
| (817) 446-5888 |
| Full Name | Woodhaven General And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5109 Brentwood Stair Rd, Ft Worth, Texas |
| Authorized Official Name and Position | Jeff Curtis Jenkins (PRESIDENT) |
| Authorized Official Contact | 8174574078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodhaven General And Cosmetic Dentistry 5109 Brentwood Stair Rd Ft Worth TX 76112-2809 Ph: (817) 457-4078 | Woodhaven General And Cosmetic Dentistry 5109 Brentwood Stair Rd Ft Worth TX 76112-2809 Ph: (817) 457-4078 |
| NPI Number | 1407068786 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407068786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21558 (Texas) | Primary |
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