Entity Information

ENDODONTIC ASSOCIATES OF FORT WORTH PLLC

Active
UEI CAGE Website
XQR8GMA6M5U8 9R5L9

Addresses

Physical Address
3821 CAMP BOWIE BLVD
FORT WORTH, TX 76107
UNITED STATES OF AMERICA
Mailing Address
12655 NORTH CENTRAL EXPRESSWAY, SUITE 1018
DALLAS, TX 75243
UNITED STATES OF AMERICA

Business Type

FOR PROFIT ORGANIZATION
SELF CERTIFIED SMALL DISADVANTAGED BUSINESS

NAICS Codes

Code
Description
OFFICES OF DENTISTS (PRIMARY NAICS)

Contacts

Type
Person
PRIMARY
JANE INGRASSIA (PAYER RELATIONS MANAGER)
ALTERNATE
ROBIN DEMCHUCK (PRACTICE ADMINISTRATOR)
PAST PERF.
JANE INGRASSIA (PAYER RELATIONS MANAGER)
PAST PERF. ALT.
ROBIN DEMCHUCK (PRACTICE ADMINISTRATOR)
ELECTRONIC
JANE INGRASSIA (PAYER RELATIONS MANAGER)
ELECTRONIC ALT.
ROBIN DEMCHUCK (PRACTICE ADMINISTRATOR)
Notification