| Pediatric Smiles P.a. | |
|
3004 Highway 121 Suite B Bedford TX 76021-4037 | |
| (817) 283-8600 | |
| (817) 283-8621 |
| Full Name | Pediatric Smiles P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3004 Highway 121, Bedford, Texas |
| Authorized Official Name and Position | Manivara Krone (PRESIDENT) |
| Authorized Official Contact | 8172838600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Smiles P.a. 3004 Highway121 Suite B Bedford TX 76021-4037 Ph: () - | Pediatric Smiles P.a. 3004 Highway 121 Suite B Bedford TX 76021-4037 Ph: (817) 283-8600 |
| NPI Number | 1780893255 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780893255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 20602 (Texas) | Primary |
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