| Kids Pediatric Dentistry, Pa | |
|
335 N Allen Dr Allen TX 75013-2539 | |
| (972) 727-0011 | |
| (972) 727-0707 |
| Full Name | Kids Pediatric Dentistry, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 335 N Allen Dr, Allen, Texas |
| Authorized Official Name and Position | Elisabeth Rowold-garciamendez (OWNER) |
| Authorized Official Contact | 9727270011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Pediatric Dentistry, Pa 335 N Allen Dr Allen TX 75013-2539 Ph: (972) 727-0011 | Kids Pediatric Dentistry, Pa 335 N Allen Dr Allen TX 75013-2539 Ph: (972) 727-0011 |
| NPI Number | 1801101191 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 08/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801101191 | NPI | - | NPPES |
| 0912743-02 | Medicaid | TX | |
| 900-53478 | Other | AL | BCBS OF ALABAMA |
| 0000ZBX696 | Other | MA | BCBS OF MA |
| 85D713 | Other | TX | BCBS OF TX |
| 861423 | Other | TX | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 18425 (Texas) | Primary |
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