| Frisco Dentistry For Kids | |
|
8380 Warren Pkwy Ste 400 Frisco TX 75034-4198 | |
| (214) 387-0099 | |
| Not Available |
| Full Name | Frisco Dentistry For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8380 Warren Pkwy, Frisco, Texas |
| Authorized Official Name and Position | Kelli L Ettelbrick (PARTNER) |
| Authorized Official Contact | 2143870099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frisco Dentistry For Kids 8380 Warren Pkwy Ste 400 Frisco TX 75034-4198 Ph: (214) 387-0099 | Frisco Dentistry For Kids 8380 Warren Pkwy Ste 400 Frisco TX 75034-4198 Ph: (214) 387-0099 |
| NPI Number | 1346597390 |
|---|---|
| Provider Enumeration Date | 08/09/2012 |
| Last Update Date | 08/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346597390 | NPI | - | NPPES |
| 1578505038 | Other | NPI - INDIVIDUAL | |
| 1639364797 | Other | NPI - INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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