| Melissa Kids Dental, Pllc | |
|
1711 Cooper St Melissa TX 75454-9542 | |
| (469) 422-5437 | |
| (972) 378-6771 |
| Full Name | Melissa Kids Dental, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1711 Cooper St, Melissa, Texas |
| Authorized Official Name and Position | Rupande Patel (OWNER) |
| Authorized Official Contact | 4694225437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Kids Dental, Pllc 6513 Preston Rd Suite 500 Plano TX 75024-2688 Ph: (469) 422-5437 | Melissa Kids Dental, Pllc 1711 Cooper St Melissa TX 75454-9542 Ph: (469) 422-5437 |
| NPI Number | 1841564820 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841564820 | NPI | - | NPPES |
| 285094301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Texas) | Primary |
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