Cool Kids Dentistry Of Irving | |
1440 N Macarthur Blvd Suite 500 Irving TX 75061-4496 | |
(972) 579-5000 | |
(972) 579-5001 |
Full Name | Cool Kids Dentistry Of Irving |
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Speciality | Dentist |
Location | 1440 N Macarthur Blvd, Irving, Texas |
Authorized Official Name and Position | John Ralston Gober (OWNER/DENTIST) |
Authorized Official Contact | 8179800298 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cool Kids Dentistry Of Irving 1440 N Macarthur Blvd Suite 500 Irving TX 75061-4496 Ph: (972) 579-5000 | Cool Kids Dentistry Of Irving 1440 N Macarthur Blvd Suite 500 Irving TX 75061-4496 Ph: (972) 579-5000 |
NPI Number | 1427348218 |
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Provider Enumeration Date | 04/13/2011 |
Last Update Date | 04/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427348218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 16709 (Texas) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | 16709 (Texas) | Secondary |
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