| Texas Tiny Teeth - Rowlett | |
|
5404 Kenwood Drive Rowlett TX 75089 | |
| (469) 425-5437 | |
| Not Available |
| Full Name | Texas Tiny Teeth - Rowlett |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5404 Kenwood Drive, Rowlett, Texas |
| Authorized Official Name and Position | James Slaughter (OWNER) |
| Authorized Official Contact | 4694255437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Tiny Teeth - Rowlett 5404 Kenwood Drive Rowlett TX 75089 | Texas Tiny Teeth - Rowlett 5404 Kenwood Drive Rowlett TX 75089 Ph: (469) 425-5437 |
| NPI Number | 1962022434 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962022434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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