| Kids Dental Zone | |
|
11000 Garland Rd Dallas TX 75218-2615 | |
| (214) 328-4867 | |
| Not Available |
| Full Name | Kids Dental Zone |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11000 Garland Rd, Dallas, Texas |
| Authorized Official Name and Position | Steven Coffman (PRESIDENT) |
| Authorized Official Contact | 7023007886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Zone Po Box 939 Lake Dallas TX 75065-0939 Ph: () - | Kids Dental Zone 11000 Garland Rd Dallas TX 75218-2615 Ph: (214) 328-4867 |
| NPI Number | 1033546320 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 02/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033546320 | NPI | - | NPPES |
| 205190609 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23791 (Texas) | Primary |
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