| Dentium Pediatric Dental P.c. | |
|
2626 Stonebrook Pkwy Ste 200 Frisco TX 75034-1393 | |
| (972) 987-0787 | |
| Not Available |
| Full Name | Dentium Pediatric Dental P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2626 Stonebrook Pkwy Ste 200, Frisco, Texas |
| Authorized Official Name and Position | Solmaz Shir (OWNER) |
| Authorized Official Contact | 9729870787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentium Pediatric Dental P.c. 2626 Stonebrook Pkwy Ste 200 Frisco TX 75034-1393 Ph: (972) 987-0787 | Dentium Pediatric Dental P.c. 2626 Stonebrook Pkwy Ste 200 Frisco TX 75034-1393 Ph: (972) 987-0787 |
| NPI Number | 1922529874 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922529874 | NPI | - | NPPES |
| 1255696142 | Other | TX | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 28104 (Texas) | Primary |
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