| Community Dental For Kids | |
|
1108 W Dickinson Blvd Ste B Fort Stockton TX 79735-4201 | |
| (480) 734-4712 | |
| Not Available |
| Full Name | Community Dental For Kids |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1108 W Dickinson Blvd Ste B, Fort Stockton, Texas |
| Authorized Official Name and Position | Charles Mckenzie (OWNER) |
| Authorized Official Contact | 4807344712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental For Kids 2131 E Leland Cir Mesa AZ 85213-2240 Ph: (480) 734-4712 | Community Dental For Kids 1108 W Dickinson Blvd Ste B Fort Stockton TX 79735-4201 Ph: (480) 734-4712 |
| NPI Number | 1942740618 |
|---|---|
| Provider Enumeration Date | 03/01/2017 |
| Last Update Date | 03/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942740618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27638 (Texas) | Primary |
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