Alec H. Jaret, Dmd, PA
Dentist in Fort Worth, TX. Organization (NPI-2).
NPI number1366697245
StatusActive
Last updated in NPPESJan 2, 2020
Details
- NPI
- 1366697245
- Entity type
- Organization (NPI-2)
- Legal business name
- Alec H. Jaret, Dmd, PA
- Organization subpart
- No
- Enumeration date
- Nov 19, 2008
- Certification date
- Jan 2, 2020
- Last updated
- Jan 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Healthdrive Dental Group (Doing Business As)
Practice location
2413 East Loop 820 NorthFort Worth, TX 76118-8208
Phone 888-964-6681 · Fax 888-662-0859
Mailing address
100 Crossing BlvdSuite 300
Framingham, MA 01702-5555
Phone 617-964-6681 · Fax 339-686-2561
Authorized official
Alec H. Jaret
Owner/President
6179646681
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