Burleson Pediatric Dental Center LLC

NPI #1033841317 in Burleson, Texas

Provider Information

NPI Number: 1033841317
Entity Type: Organization
Organization Name: Burleson Pediatric Dental Center LLC
Primary Specialty: Dentist
Enumeration Date: Jun 27, 2022
Last Updated: Jun 27, 2022

Practice Location

Address: 101 NW RENFRO ST STE 106
City: Burleson
State: Texas
ZIP Code: 76028-4178
Phone: (817) 447-7474

Authorized Official

Name: MIKE COLE
Title: VP INSURANCE PLAN MANAGEMENT
Phone: (727) 424-2990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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