| Kidzania Pediatric Dentistry | |
|
26785 E. University Dr, St. 102 Aubrey TX 75068 | |
| (817) 483-2445 | |
| (817) 483-2677 |
| Full Name | Kidzania Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 26785 E. University Dr, St. 102, Aubrey, Texas |
| Authorized Official Name and Position | Hussam Gharraph (OWNER) |
| Authorized Official Contact | 8174832445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidzania Pediatric Dentistry 3851 Sw Green Oaks Blvd, St. 123 Arlington TX 76017 Ph: (817) 483-2445 | Kidzania Pediatric Dentistry 26785 E. University Dr, St. 102 Aubrey TX 75068 Ph: (817) 483-2445 |
| NPI Number | 1134637119 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 01/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134637119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 29173 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 28910 (Texas) | Secondary |
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