| Kids@heart Pediatric Dentistry | |
|
450 N Highway 67 Ste 100 Cedar Hill TX 75104-2135 | |
| (318) 268-2620 | |
| (866) 892-0774 |
| Full Name | Kids@heart Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 450 N Highway 67, Cedar Hill, Texas |
| Authorized Official Name and Position | Ashla Larenda Martin (OWNER) |
| Authorized Official Contact | 3182682620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids@heart Pediatric Dentistry 450 N Highway 67 Ste 100 Cedar Hill TX 75104-2135 Ph: (318) 268-2620 | Kids@heart Pediatric Dentistry 450 N Highway 67 Ste 100 Cedar Hill TX 75104-2135 Ph: (318) 268-2620 |
| NPI Number | 1205378650 |
|---|---|
| Provider Enumeration Date | 11/15/2016 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205378650 | NPI | - | NPPES |
| 1871775635 | Other | TX | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 25216 (Texas) | Primary |
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