Earl Mitchell

NPI #1013163476 in Fort Worth, Texas

Provider Information

NPI Number: 1013163476
Entity Type: Individual
Name: Earl Mitchell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Aug 15, 2008
Last Updated: Aug 15, 2008

Practice Location

Address: 1511 E BERRY ST
City: Fort Worth
State: Texas
ZIP Code: 76119-3005
Phone: (817) 924-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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