| Arlington Pediatric Dentistry | |
|
7410 S Cooper St Ste 100 Arlington TX 76001-7025 | |
| (817) 465-0044 | |
| (817) 465-0055 |
| Full Name | Arlington Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7410 S Cooper St Ste 100, Arlington, Texas |
| Authorized Official Name and Position | Jennifer Pettit Ketchel (PEDIATRIC DENTIST) |
| Authorized Official Contact | 8174650044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arlington Pediatric Dentistry 7410 S Cooper St Ste 100 Arlington TX 76001-7025 Ph: (817) 465-0044 | Arlington Pediatric Dentistry 7410 S Cooper St Ste 100 Arlington TX 76001-7025 Ph: (817) 465-0044 |
| NPI Number | 1063786705 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 06/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063786705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 20274 (Texas) | Primary |
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