| Kiwi Pediatric Dental Group Pllc | |
|
17059 Stuebner Airline Rd Spring TX 77379 | |
| (281) 444-3999 | |
| (281) 444-8079 |
| Full Name | Kiwi Pediatric Dental Group Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17059 Stuebner Airline Rd, Spring, Texas |
| Authorized Official Name and Position | Lisa Trevino (OWNER/DOCTOR) |
| Authorized Official Contact | 2814443999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiwi Pediatric Dental Group Pllc 17059 Stuebner Airline Rd Spring TX 77379 Ph: (281) 444-3999 | Kiwi Pediatric Dental Group Pllc 17059 Stuebner Airline Rd Spring TX 77379 Ph: (281) 444-3999 |
| NPI Number | 1417383969 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417383969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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