| Waco Grins Pediatric Dentistry, Pllc | |
|
1605 Lake Success Dr Waco TX 76710-2908 | |
| (254) 772-4184 | |
| (254) 776-8391 |
| Full Name | Waco Grins Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1605 Lake Success Dr, Waco, Texas |
| Authorized Official Name and Position | Keith Rice (DENTIST) |
| Authorized Official Contact | 2547724184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waco Grins Pediatric Dentistry, Pllc 1605 Lake Success Dr Waco TX 76710-2908 Ph: (254) 772-4184 | Waco Grins Pediatric Dentistry, Pllc 1605 Lake Success Dr Waco TX 76710-2908 Ph: (254) 772-4184 |
| NPI Number | 1720455306 |
|---|---|
| Provider Enumeration Date | 08/30/2015 |
| Last Update Date | 08/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720455306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21649 (Texas) | Primary |
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