| Kidstown Dental | |
|
27110 Cinco Ranch Suite 900 Katy TX 77494 | |
| (281) 433-1244 | |
| Not Available |
| Full Name | Kidstown Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 27110 Cinco Ranch Suite 900, Katy, Texas |
| Authorized Official Name and Position | Amy Lynn Luedemann (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2814331244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidstown Dental 27110 Cinco Ranch Suite 900 Katy TX 77494 Ph: (281) 433-1244 | Kidstown Dental 27110 Cinco Ranch Suite 900 Katy TX 77494 Ph: (281) 433-1244 |
| NPI Number | 1558622332 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558622332 | NPI | - | NPPES |
| 220749001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 24032 (Texas) | Primary |
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