Hwy 30 Dental Clinic P a
NPI #1083836217 in Fort Worth, Texas
Provider Information
- NPI Number
- 1083836217
- Entity Type
- Organization
- Organization Name
- Hwy 30 Dental Clinic P a
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1204 WOODHAVEN BLVD
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76112
- Phone
- (817) 654-9760
Authorized Official
- Name
- DR. KEVIN AFKAMI, DDS
- Title
- PRESIDENT
- Phone
- (817) 654-9760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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