| Irving Kids Dentist, Pllc | |
|
3108 N Macarthur Blvd Irving TX 75062-4451 | |
| (503) 270-7319 | |
| Not Available |
| Full Name | Irving Kids Dentist, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3108 N Macarthur Blvd, Irving, Texas |
| Authorized Official Name and Position | Vishal P Panchmatia (OWNER) |
| Authorized Official Contact | 5032707319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irving Kids Dentist, Pllc 7667 Pecos Rdg Boerne TX 78015-5143 Ph: (503) 270-7319 | Irving Kids Dentist, Pllc 3108 N Macarthur Blvd Irving TX 75062-4451 Ph: (503) 270-7319 |
| NPI Number | 1841079415 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 10/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841079415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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