| Home Town Dental,pa | |
|
6332 Lake Worth Lake Worth TN 76135 | |
| (817) 237-3222 | |
| (817) 237-0101 |
| Full Name | Home Town Dental,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6332 Lake Worth, Lake Worth, Tennessee |
| Authorized Official Name and Position | Patty Sanchez (MANAGER) |
| Authorized Official Contact | 8172373222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Town Dental,pa 6332 Lake Worth Blvd Fort Worth TX 76135-3602 Ph: (817) 237-3222 | Home Town Dental,pa 6332 Lake Worth Lake Worth TN 76135 Ph: (817) 237-3222 |
| NPI Number | 1316134125 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316134125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |