| Fun Dentist-south | |
|
4220 Little Road Arlington TX 76016 | |
| (817) 478-2300 | |
| (817) 478-4904 |
| Full Name | Fun Dentist-south |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4220 Little Road, Arlington, Texas |
| Authorized Official Name and Position | Charles W Miller (OWNER) |
| Authorized Official Contact | 8174782300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fun Dentist-south 4220 Little Road Arlington TX 76016 Ph: (817) 478-2300 | Fun Dentist-south 4220 Little Road Arlington TX 76016 Ph: (817) 478-2300 |
| NPI Number | 1023126786 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023126786 | NPI | - | NPPES |
| 285834201 | Medicaid | TX |
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