| Children's Dental At Preston Trail, Pc | |
|
6222 Hulen Bend Blvd Fort Worth TX 76132-2803 | |
| (817) 546-3335 | |
| Not Available |
| Full Name | Children's Dental At Preston Trail, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6222 Hulen Bend Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Charlotte V Dasch (DIRECTOR OF CREDENTIALING AND PR) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental At Preston Trail, Pc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Children's Dental At Preston Trail, Pc 6222 Hulen Bend Blvd Fort Worth TX 76132-2803 Ph: (817) 546-3335 |
| NPI Number | 1215793690 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215793690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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