| Texas Kids Dental Care Of Fabens, Pa | |
|
1018 N. Fabens Fabens TX 79838 | |
| (915) 764-0096 | |
| Not Available |
| Full Name | Texas Kids Dental Care Of Fabens, Pa |
|---|---|
| Speciality | Dentist |
| Location | 1018 N. Fabens, Fabens, Texas |
| Authorized Official Name and Position | Priscilla Porras (OFFICE MANAGER) |
| Authorized Official Contact | 9158586868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Kids Dental Care Of Fabens, Pa Po Box 3324 Fabens TX 79838-3324 Ph: (915) 764-0096 | Texas Kids Dental Care Of Fabens, Pa 1018 N. Fabens Fabens TX 79838 Ph: (915) 764-0096 |
| NPI Number | 1891066692 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891066692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24362 (Texas) | Primary |