Lifetime and Cosmetic Dentistry
Lifetime and Cosmetic Dentistry is a General Practice Dentistry in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2010.
- Licensed in
- TX
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
5040 N Tarrant Pkwy Ste 118Fort Worth, TX 76244-5389
Phone: (817) 750-5433
Fax: (817) 750-5431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 21381 (TX) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 21561 (TX) |
Record details
| NPI number | 1841521879 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sonya Austin — Owner · (817) 750-5433 |
| NPI enumerated | January 14, 2010 |
| Last updated in NPPES | January 14, 2010 |
| Mailing address | 5040 N Tarrant Pkwy, Suite 118, Fort Worth, TX 76244-5389 |
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