| Children's Dental And Orthodontics | |
|
17194 Preston Rd Ste 160 Dallas TX 75248-1221 | |
| (214) 453-2565 | |
| Not Available |
| Full Name | Children's Dental And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17194 Preston Rd Ste 160, Dallas, Texas |
| Authorized Official Name and Position | Charlotte V Dasch (SR. OPERATIONS COORDINATOR) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental And Orthodontics 17194 Preston Rd Ste 160 Dallas TX 75248-1221 Ph: (214) 453-2565 | Children's Dental And Orthodontics 17194 Preston Rd Ste 160 Dallas TX 75248-1221 Ph: (214) 453-2565 |
| NPI Number | 1063926681 |
|---|---|
| Provider Enumeration Date | 11/17/2017 |
| Last Update Date | 11/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063926681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 29183 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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