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NPI Code Detail

MEDICARE: DR. SWATI MITTAL D.D.S.

MEDICARE:  DR. SWATI  MITTAL  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401415227VA
21223G0001XGeneral Practice Dentistry33720TX

General Provider Information

NPI Number : 1073964763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SWATI MITTAL D.D.S.
Provider Business Mailing Address
First Line : 6000 CAMP BOWIE BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-5606
Country : US
Telephone Number : 817-585-2492
Fax Number :
Provider Business Practice Location Address
First Line : 6000 CAMP BOWIE BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76116
Country : US
Telephone Number : 817-585-2492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2016
Last Update Date : 03/05/2019

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Directions to “ DR. SWATI MITTAL D.D.S.” Practice Location

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