Seminary Family Dental Pllc

NPI #1003193038 in Fort Worth, Texas

Provider Information

NPI Number: 1003193038
Entity Type: Organization
Organization Name: Seminary Family Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 4, 2011
Last Updated: Nov 4, 2011

Practice Location

Address: 546 W SEMINARY DR
Address 2: SUITE # C
City: Fort Worth
State: Texas
ZIP Code: 76115-1361
Phone: (817) 924-0091

Authorized Official

Name: DR. MITA DESAI, DDS
Title: OWNER
Phone: (817) 924-0091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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