Fort Worth Dental

NPI #1104939024 in Fort Worth, Texas

Provider Information

NPI Number: 1104939024
Entity Type: Organization
Organization Name: Fort Worth Dental
Subpart: Yes (part of a larger organization)
Parent Organization: ARTHUR J MUND III DDS PC
Primary Specialty: Dentist
Enumeration Date: Aug 16, 2006
Last Updated: Oct 11, 2012

Practice Location

Address: 4620 CITYLAKE BLVD W
City: Fort Worth
State: Texas
ZIP Code: 76132-3695
Phone: (817) 263-0202

Authorized Official

Name: DR. ARTHUR JACKSON MUND III, D.D.S.
Title: OWNER
Phone: (817) 263-0202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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