Ikids Pediatric Dentistry Denton, Pllc | |
1212 Bent Oaks Ct Ste 100 Denton TX 76210 | |
(682) 222-1010 | |
Not Available |
Full Name | Ikids Pediatric Dentistry Denton, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1212 Bent Oaks Ct Ste 100, Denton, Texas |
Authorized Official Name and Position | Alyssa Aguilar (DIRECTOR OF REVENUE & CREDENTIALING) |
Authorized Official Contact | 8174668554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ikids Pediatric Dentistry Denton, Pllc 2500 E Broad St Ste 204 Mansfield TX 76063-4361 Ph: (817) 466-8554 | Ikids Pediatric Dentistry Denton, Pllc 1212 Bent Oaks Ct Ste 100 Denton TX 76210 Ph: (682) 222-1010 |
NPI Number | 1417435389 |
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Provider Enumeration Date | 08/02/2018 |
Last Update Date | 03/04/2021 |
Identifier | Type | State | Issuer |
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1417435389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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