| Hawk Pediatric Dentistry | |
|
151 Ridge Point Pkwy Ste 100 Keller TX 76248-8801 | |
| (817) 697-5166 | |
| Not Available |
| Full Name | Hawk Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 151 Ridge Point Pkwy Ste 100, Keller, Texas |
| Authorized Official Name and Position | Mahendra D Mavalli (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4699617082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawk Pediatric Dentistry 333 Beechwood Ln Coppell TX 75019-5307 Ph: (469) 961-7082 | Hawk Pediatric Dentistry 151 Ridge Point Pkwy Ste 100 Keller TX 76248-8801 Ph: (817) 697-5166 |
| NPI Number | 1912629809 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912629809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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