| Park Place Pediatric Dentistry | |
|
3602 Matlock Rd Ste 208 Arlington TX 76015-3616 | |
| (817) 465-1888 | |
| (817) 466-8879 |
| Full Name | Park Place Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3602 Matlock Rd, Arlington, Texas |
| Authorized Official Name and Position | Stephanie M Ferguson (OWNER) |
| Authorized Official Contact | 8174651888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Pediatric Dentistry 3602 Matlock Rd Ste 208 Arlington TX 76015-3616 Ph: (817) 465-1888 | Park Place Pediatric Dentistry 3602 Matlock Rd Ste 208 Arlington TX 76015-3616 Ph: (817) 465-1888 |
| NPI Number | 1053719666 |
|---|---|
| Provider Enumeration Date | 12/12/2014 |
| Last Update Date | 12/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053719666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29889 (Texas) | Primary |
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