Jane Poquiz
Dentist, General Practice in Fort Worth, TX. Individual provider (NPI-1).
NPI number1316005994
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1316005994
- Entity type
- Individual (NPI-1)
- Name
- Jane Poquiz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19111 | TX | Yes |
Practice location
6261 Old Granbury RdFort Worth, TX 76133-3401
Phone 817-246-9040
Mailing address
650 International PkwySuite 100
Richardson, TX 75081-6612
Phone 817-246-9040
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