Park Place Pediatric Dentistry

NPI #1053719666 in Arlington, Texas

Provider Information

NPI Number: 1053719666
Entity Type: Organization
Organization Name: Park Place Pediatric Dentistry
Primary Specialty: Dentist
Enumeration Date: Dec 12, 2014
Last Updated: Dec 12, 2014

Practice Location

Address: 3602 MATLOCK RD
Address 2: STE 208
City: Arlington
State: Texas
ZIP Code: 76015-3616
Phone: (817) 465-1888

Authorized Official

Name: DR. STEPHANIE M FERGUSON, D.D.S
Title: OWNER
Phone: (817) 465-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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