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3610 Shire Blvd Ste 110 Richardson TX 75082-2239 | |
(214) 697-4173 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 3610 Shire Blvd Ste 110, Richardson, Texas |
Authorized Official Name and Position | Khaled Jadid (DENTIST) |
Authorized Official Contact | 2146974173 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3610 Shire Blvd Ste 110 Richardson TX 75082-2239 Ph: () - | 3610 Shire Blvd Ste 110 Richardson TX 75082-2239 Ph: (214) 697-4173 |
NPI Number | 1053756858 |
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Provider Enumeration Date | 05/07/2013 |
Last Update Date | 05/07/2013 |
Identifier | Type | State | Issuer |
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1053756858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Richardson Oral Surgery And Implant Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1070 W Campbell Rd, Suite 200, Richardson, TX 75080 Phone: 972-231-6661 Fax: 972-231-3161 | |
Jay L. Nutt & C. Fred Pietsch, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 E Belt Line Rd, Suite 103, Richardson, TX 75081 Phone: 972-690-8617 Fax: 972-690-6423 | |