| Grapevine Kids Dental and Orthodontics | |
|
1230 S Main St Grapevine TX 76051-5544 | |
| (972) 258-0758 | |
| Not Available |
| Full Name | Grapevine Kids Dental and Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 1230 S Main St, Grapevine, Texas |
| Authorized Official Name and Position | Lyle Matthew Schofield (MANAGING MEMBER) |
| Authorized Official Contact | 4699005371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grapevine Kids Dental and Orthodontics 1230 S Main St Grapevine TX 76051-5544 Ph: (817) 909-2920 | Grapevine Kids Dental and Orthodontics 1230 S Main St Grapevine TX 76051-5544 Ph: (972) 258-0758 |
| NPI Number | 1295397610 |
|---|---|
| Provider Enumeration Date | 07/05/2019 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295397610 | NPI | - | NPPES |
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