| Ckv Pediatric Dentistry Pllc | |
|
1618 Fm 423 Ste 100 Frisco TX 75033-0040 | |
| (617) 331-6541 | |
| Not Available |
| Full Name | Ckv Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1618 Fm 423 Ste 100, Frisco, Texas |
| Authorized Official Name and Position | Yi-ju Chen (PRESIDENT) |
| Authorized Official Contact | 6173316541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ckv Pediatric Dentistry Pllc 127 Rolling Fork Bnd Irving TX 75039-3805 Ph: (617) 331-6541 | Ckv Pediatric Dentistry Pllc 1618 Fm 423 Ste 100 Frisco TX 75033-0040 Ph: (617) 331-6541 |
| NPI Number | 1386363760 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386363760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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