| Tooth Castle, Pllc | |
|
2001 E Belt Line Rd Carrollton TX 75006-5701 | |
| (972) 416-7000 | |
| Not Available |
| Full Name | Tooth Castle, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2001 E Belt Line Rd, Carrollton, Texas |
| Authorized Official Name and Position | Maria Angeles Fuentes (MANAGER) |
| Authorized Official Contact | 9724167000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Castle, Pllc Po Box 32067 Phoenix AZ 85064-2067 Ph: () - | Tooth Castle, Pllc 2001 E Belt Line Rd Carrollton TX 75006-5701 Ph: (972) 416-7000 |
| NPI Number | 1902152721 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902152721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 20674 (Texas) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20674 (Texas) | Secondary |
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