| Kennedale Family Dentistry& Orthodontics,pllc | |
|
201 W Kennedale Pkwy Building5,suite512, Kennedale TX 76060-2435 | |
| (469) 569-2368 | |
| Not Available |
| Full Name | Kennedale Family Dentistry& Orthodontics,pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 W Kennedale Pkwy, Kennedale, Texas |
| Authorized Official Name and Position | Pam Linavong (MANAGER) |
| Authorized Official Contact | 4695692368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedale Family Dentistry& Orthodontics,pllc 201 W Kennedale Pkwy Building5,suite512, Kennedale TX 76060-2435 Ph: (469) 569-2368 | Kennedale Family Dentistry& Orthodontics,pllc 201 W Kennedale Pkwy Building5,suite512, Kennedale TX 76060-2435 Ph: (469) 569-2368 |
| NPI Number | 1255704516 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255704516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |