| Sandra Lee Armstrong D.d.s, | |
|
2915 E Southlake Blvd Suite 200 Southlake TX 76092-6626 | |
| (817) 488-3533 | |
| (817) 421-9221 |
| Full Name | Sandra Lee Armstrong D.d.s, |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2915 E Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Sandra Lee Armstrong (PEDIATRIC DENTISY) |
| Authorized Official Contact | 8174883533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Lee Armstrong D.d.s, 2915 E Southlake Blvd Suite 200 Southlake TX 76092-6626 Ph: (817) 488-3533 | Sandra Lee Armstrong D.d.s, 2915 E Southlake Blvd Suite 200 Southlake TX 76092-6626 Ph: (817) 488-3533 |
| NPI Number | 1902055015 |
|---|---|
| Provider Enumeration Date | 09/12/2008 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902055015 | NPI | - | NPPES |
| 008988002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 15692 (Texas) | Primary |
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