| Children's General Dentistry Of Fort Stockton | |
|
2071 N Main St Fort Stockton TX 79735-3041 | |
| (830) 688-3253 | |
| Not Available |
| Full Name | Children's General Dentistry Of Fort Stockton |
|---|---|
| Speciality | Dentist |
| Location | 2071 N Main St, Fort Stockton, Texas |
| Authorized Official Name and Position | Richard Menz (MEMBER) |
| Authorized Official Contact | 8306883253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's General Dentistry Of Fort Stockton 101 Lantana Holw Boerne TX 78006-5889 Ph: (830) 229-5403 | Children's General Dentistry Of Fort Stockton 2071 N Main St Fort Stockton TX 79735-3041 Ph: (830) 688-3253 |
| NPI Number | 1174967806 |
|---|---|
| Provider Enumeration Date | 04/24/2013 |
| Last Update Date | 04/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174967806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22374 (Texas) | Primary |
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