| The Detnal Ranch | |
|
850 W Hwy 243 Kaufman TX 75142 | |
| (888) 336-8839 | |
| (972) 438-2540 |
| Full Name | The Detnal Ranch |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 850 W Hwy 243, Kaufman, Texas |
| Authorized Official Name and Position | Matt Frederick Kern (PRESIDENT) |
| Authorized Official Contact | 8883368839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Detnal Ranch 850 W Hwy 243 Kaufman TX 75142 Ph: (888) 336-8839 | The Detnal Ranch 850 W Hwy 243 Kaufman TX 75142 Ph: (888) 336-8839 |
| NPI Number | 1407189517 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 09/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407189517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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