| Frisco Kids Dentistry | |
|
6801 Warren Pkwy Suite 115 Frisco TX 75034-4174 | |
| (214) 618-5200 | |
| (214) 618-5201 |
| Full Name | Frisco Kids Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6801 Warren Pkwy, Frisco, Texas |
| Authorized Official Name and Position | Paul Irving Rubin (OWNER) |
| Authorized Official Contact | 2146185200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frisco Kids Dentistry 6801 Warren Pkwy Suite 115 Frisco TX 75034-4174 Ph: (214) 618-5200 | Frisco Kids Dentistry 6801 Warren Pkwy Suite 115 Frisco TX 75034-4174 Ph: (214) 618-5200 |
| NPI Number | 1467743450 |
|---|---|
| Provider Enumeration Date | 04/25/2011 |
| Last Update Date | 04/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467743450 | NPI | - | NPPES |
| 184453201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19804 (Texas) | Primary |
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