Burleson Pediatric Dentistry | |
1161 Sw Wilshire Blvd Burleson TX 76028-5707 | |
(817) 447-7474 | |
Not Available |
Full Name | Burleson Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1161 Sw Wilshire Blvd, Burleson, Texas |
Authorized Official Name and Position | Andrew M Jamison (OWNER) |
Authorized Official Contact | 8174477474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Burleson Pediatric Dentistry 1161 Sw Wilshire Blvd Ste 110 Burleson TX 76028-5708 Ph: (817) 447-7474 | Burleson Pediatric Dentistry 1161 Sw Wilshire Blvd Burleson TX 76028-5707 Ph: (817) 447-7474 |
NPI Number | 1114194834 |
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Provider Enumeration Date | 05/12/2008 |
Last Update Date | 05/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114194834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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