NPI 1417252008 · live from the CMS NPI Registry
Abc 123 Dental Centers Professional
Dentist, General Practice in Fort Worth, TX. National Provider Identifier 1417252008, active.
NPI record
| NPI | 1417252008 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 6426 Meadowbrook Dr, Fort Worth, TX 76112 |
| Practice phone | 817-496-2343 |
| Enumerated | January 13, 2011 |
| Last updated | January 13, 2011 |
| Authorized official | Peter Vo, Owner |
| Other names | Abc 123 Dental And Orthodontics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.