| Reena Dental Pllc | |
|
1129 Green Oaks Rd Fort Worth TX 76116-1501 | |
| (682) 350-4198 | |
| (682) 350-4199 |
| Full Name | Reena Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1129 Green Oaks Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Kia Williams (PROVIDER ENROLLMENT TEAM LEAD) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reena Dental Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: (315) 454-6000 | Reena Dental Pllc 1129 Green Oaks Rd Fort Worth TX 76116-1501 Ph: (682) 350-4198 |
| NPI Number | 1730986928 |
|---|---|
| Provider Enumeration Date | 02/26/2025 |
| Last Update Date | 02/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730986928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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