| Burleson Pediatric Dental Center Llc | |
|
101 Nw Renfro St Ste 106 Burleson TX 76028-4178 | |
| (817) 447-7474 | |
| Not Available |
| Full Name | Burleson Pediatric Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 101 Nw Renfro St Ste 106, Burleson, Texas |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burleson Pediatric Dental Center Llc 101 Nw Renfro St Ste 106 Burleson TX 76028-4178 Ph: (817) 447-7474 | Burleson Pediatric Dental Center Llc 101 Nw Renfro St Ste 106 Burleson TX 76028-4178 Ph: (817) 447-7474 |
| NPI Number | 1033841317 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033841317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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