| Fundentist-north | |
|
801 W. Road To Six Flags Suite 101 Arlington TX 76012 | |
| (817) 459-1313 | |
| (817) 549-8970 |
| Full Name | Fundentist-north |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 801 W. Road To Six Flags, Arlington, Texas |
| Authorized Official Name and Position | Charles W. Miller (OWNER) |
| Authorized Official Contact | 8174782300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fundentist-north 4220 Little Road Arlington TX 76016 Ph: (817) 478-2300 | Fundentist-north 801 W. Road To Six Flags Suite 101 Arlington TX 76012 Ph: (817) 459-1313 |
| NPI Number | 1306953906 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306953906 | NPI | - | NPPES |
| 009668701 | Medicaid | TX |
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