| Children's Dental Home | |
|
610 Honea Egypt Rd Magnolia TX 77354-2392 | |
| (936) 321-2580 | |
| Not Available |
| Full Name | Children's Dental Home |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 610 Honea Egypt Rd, Magnolia, Texas |
| Authorized Official Name and Position | Carl Eugene Pittman (PRESIDENT) |
| Authorized Official Contact | 9363212580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Home 610 Honea Egypt Rd Magnolia TX 77354-2392 Ph: (936) 321-2580 | Children's Dental Home 610 Honea Egypt Rd Magnolia TX 77354-2392 Ph: (936) 321-2580 |
| NPI Number | 1023345691 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023345691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18043 (Texas) | Primary |
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