Bolouri, Mitra Fatima

Bolouri, Mitra Fatima is an individual health care provider with primary practice located at 2320 Oakland Blvd Ste 100, Ft Worth TX 76103-3254. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bolouri, Mitra Fatima can be contacted via phone (214) 533-2689.

Contact Information

Primary practice address
2320 Oakland Blvd Ste 100 Ft Worth TX 76103-3254
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 28005 Texas

Profile Details

NPI number 1710242193
LBN Legal business name Bolouri, Mitra Fatima
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Jul 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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