| Childrens Dentistry | |
|
520 W Brown St #b Wylie TX 75098 | |
| (972) 429-7070 | |
| (972) 429-7071 |
| Full Name | Childrens Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 520 W Brown St, Wylie, Texas |
| Authorized Official Name and Position | Allen I Pearson (OWNER) |
| Authorized Official Contact | 9724297070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dentistry 520 W Brown St #b Wylie TX 75098 Ph: (972) 429-7070 | Childrens Dentistry 520 W Brown St #b Wylie TX 75098 Ph: (972) 429-7070 |
| NPI Number | 1184737579 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 12/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184737579 | NPI | - | NPPES |
| 1554016-03 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21036 (Texas) | Primary |
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