Greenville Pediatric Dentistry, P.a.
NPI #1003022930 in Greenville, Texas
Provider Information
- NPI Number
- 1003022930
- Entity Type
- Organization
- Organization Name
- Greenville Pediatric Dentistry, P.a.
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3101 JOE RAMSEY BLVD E
- Address 2
- SUITE 103A
- City
- Greenville
- State
- Texas
- ZIP Code
- 75401-7716
- Phone
- (903) 454-0771
Authorized Official
- Name
- KATHRYN ANN KREIDER, DMD
- Title
- PRESIDENT
- Phone
- (903) 454-0771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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