Fadal Pediatric Dentistry, PA
NPI #1194129627 in Longview, Texas
Provider Information
- NPI Number
- 1194129627
- Entity Type
- Organization
- Organization Name
- Fadal Pediatric Dentistry, PA
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 13, 2014
- Last Updated
- Oct 13, 2014
Practice Location
Authorized Official
- Name
- DEBBIE HARRIS
- Title
- OFFICE MANAGER
- Phone
- (903) 758-6406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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