Kids And Teens Dental Place | |
11041 Shadow Creek Pkwy Suite Number 125 Pearland TX 77584-7402 | |
(832) 661-4656 | |
Not Available |
Full Name | Kids And Teens Dental Place |
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Speciality | Dentist - Pediatric Dentistry |
Location | 11041 Shadow Creek Pkwy, Pearland, Texas |
Authorized Official Name and Position | Cecilia Carpio (PRESIDENT) |
Authorized Official Contact | 8326614656 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids And Teens Dental Place 11041 Shadow Creek Pkwy Suite # 125 Pearland TX 77584-7402 Ph: (832) 661-4656 | Kids And Teens Dental Place 11041 Shadow Creek Pkwy Suite Number 125 Pearland TX 77584-7402 Ph: (832) 661-4656 |
NPI Number | 1992097083 |
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Provider Enumeration Date | 05/06/2011 |
Last Update Date | 07/27/2011 |
Identifier | Type | State | Issuer |
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1992097083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 24880 (Texas) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 24880 (Texas) | Primary |
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