Kennedale Family Dentistry& Orthodontics,pllc | |
201 W Kennedale Pkwy Building5,suite512, Kennedale TX 76060-2435 | |
(469) 569-2368 | |
Not Available |
Full Name | Kennedale Family Dentistry& Orthodontics,pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 201 W Kennedale Pkwy, Kennedale, Texas |
Authorized Official Name and Position | Pam Linavong (MANAGER) |
Authorized Official Contact | 4695692368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kennedale Family Dentistry& Orthodontics,pllc 201 W Kennedale Pkwy Building5,suite512, Kennedale TX 76060-2435 Ph: (469) 569-2368 | Kennedale Family Dentistry& Orthodontics,pllc 201 W Kennedale Pkwy Building5,suite512, Kennedale TX 76060-2435 Ph: (469) 569-2368 |
NPI Number | 1255704516 |
---|---|
Provider Enumeration Date | 11/09/2015 |
Last Update Date | 11/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255704516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |