| Children's Dental At Preston Trail, Pc | |
|
17194 Preston Rd Ste 160 Dallas TX 75248-1264 | |
| (214) 453-2567 | |
| Not Available |
| Full Name | Children's Dental At Preston Trail, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17194 Preston Rd Ste 160, Dallas, Texas |
| Authorized Official Name and Position | Charlotte Dasch (DIREC OD CRED AND PROV RELA) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental At Preston Trail, Pc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Children's Dental At Preston Trail, Pc 17194 Preston Rd Ste 160 Dallas TX 75248-1264 Ph: (214) 453-2567 |
| NPI Number | 1407612880 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407612880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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