DR. Jared Durham, DDS

NPI #1134258908 in Ft Worth, Texas

Provider Information

NPI Number: 1134258908
Entity Type: Individual
Name: DR. Jared Durham, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 5, 2007
Last Updated: Jul 23, 2008

Practice Location

Address: 1500 S MAIN ST
City: Ft Worth
State: Texas
ZIP Code: 76104-4917
Phone: (817) 921-3431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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