| Lucky Teeth Pediatric Dentistry Pllc | |
|
11851 Fm423 Suite 500 Little Elm TX 75068 | |
| (972) 798-8282 | |
| (972) 798-8060 |
| Full Name | Lucky Teeth Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11851 Fm423, Little Elm, Texas |
| Authorized Official Name and Position | Ziad Masoud (OWNER PEDIATRIC DENTIST) |
| Authorized Official Contact | 8573339441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucky Teeth Pediatric Dentistry Pllc 11851 Fm423 Suite 500 Little Elm TX 75068 Ph: (972) 798-8282 | Lucky Teeth Pediatric Dentistry Pllc 11851 Fm423 Suite 500 Little Elm TX 75068 Ph: (972) 798-8282 |
| NPI Number | 1346749165 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346749165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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