| Angel Smile Pediatric Dentistry | |
|
1125 W Fm 544 Ste 150 Wylie TX 75098-4951 | |
| (972) 734-5922 | |
| Not Available |
| Full Name | Angel Smile Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1125 W Fm 544 Ste 150, Wylie, Texas |
| Authorized Official Name and Position | Valeria Kresevic (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5857522996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Smile Pediatric Dentistry 6325 Orchard Park Dr Frisco TX 75034-5125 Ph: (585) 752-2996 | Angel Smile Pediatric Dentistry 1125 W Fm 544 Ste 150 Wylie TX 75098-4951 Ph: (972) 734-5922 |
| NPI Number | 1861859811 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861859811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 25141 (Texas) | Primary |
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