Burleson Pediatric Dentistry

NPI #1114194834 in Burleson, Texas

Provider Information

NPI Number
1114194834
Entity Type
Organization
Organization Name
Burleson Pediatric Dentistry
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
May 12, 2008
Last Updated
May 12, 2008

Practice Location

Address
1161 SW WILSHIRE BLVD
State
Texas
ZIP Code
76028-5707
Phone
(817) 447-7474

Authorized Official

Name
ANDREW M JAMISON, D.D.S.
Title
OWNER
Phone
(817) 447-7474

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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