| Seminary Family Dental Pllc | |
|
546 W Seminary Dr Suite # C Fort Worth TX 76115-1361 | |
| (817) 924-0091 | |
| Not Available |
| Full Name | Seminary Family Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 546 W Seminary Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Mita Desai (OWNER) |
| Authorized Official Contact | 8179240091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seminary Family Dental Pllc 546 W Seminary Dr Suite # C Fort Worth TX 76115-1361 Ph: (817) 924-0091 | Seminary Family Dental Pllc 546 W Seminary Dr Suite # C Fort Worth TX 76115-1361 Ph: (817) 924-0091 |
| NPI Number | 1003193038 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 11/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003193038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21968 (Texas) | Primary |
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