| Lake Worth Pediatric Dentistry, PLLC | |
|
7109 Navajo Trl Lake Worth TX 76135-3946 | |
| (817) 238-6450 | |
| Not Available |
| Full Name | Lake Worth Pediatric Dentistry, PLLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7109 Navajo Trl, Lake Worth, Texas |
| Authorized Official Name and Position | Michael Ball (OWNER/PARTNER) |
| Authorized Official Contact | 8179953195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Worth Pediatric Dentistry, PLLC 7109 Navajo Trl Lake Worth TX 76135-3946 Ph: (817) 238-6450 | Lake Worth Pediatric Dentistry, PLLC 7109 Navajo Trl Lake Worth TX 76135-3946 Ph: (817) 238-6450 |
| NPI Number | 1720661689 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720661689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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