| Pediatric Dentistry Of Colleyville | |
|
33 Main St Ste 120 Colleyville TX 76034-2981 | |
| (817) 428-7704 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Colleyville |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 33 Main St Ste 120, Colleyville, Texas |
| Authorized Official Name and Position | Dana Doan (OWNER) |
| Authorized Official Contact | 8323865992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Colleyville 2012 Cheyenne Park Ln Southlake TX 76092-3845 Ph: () - | Pediatric Dentistry Of Colleyville 33 Main St Ste 120 Colleyville TX 76034-2981 Ph: (817) 428-7704 |
| NPI Number | 1134950355 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134950355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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