Children's Dental Depot PA
NPI #1235779109 in Gun Barrel City, Texas
Provider Information
- NPI Number
- 1235779109
- Entity Type
- Organization
- Organization Name
- Children's Dental Depot PA
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jan 8, 2020
- Last Updated
- Jan 8, 2020
Practice Location
- Address
- 833 W MAIN ST
- City
- Gun Barrel City
- State
- Texas
- ZIP Code
- 75156-5312
- Phone
- (903) 686-9992
Authorized Official
- Name
- JOLIE PLAGENS
- Title
- BILLING AND INSURANCE COORD
- Phone
- (915) 855-2337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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