| Little Boots Pediatric Dentistry | |
|
3804 Lenox Dr Fort Worth TX 76107-1714 | |
| (314) 630-3689 | |
| Not Available |
| Full Name | Little Boots Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3804 Lenox Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Kathryn Holthaus (OWNER / PEDIATRIC DENTIST) |
| Authorized Official Contact | 3146303689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Boots Pediatric Dentistry 3804 Lenox Dr Fort Worth TX 76107-1714 Ph: (314) 630-3689 | Little Boots Pediatric Dentistry 3804 Lenox Dr Fort Worth TX 76107-1714 Ph: (314) 630-3689 |
| NPI Number | 1902661168 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902661168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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