Kennedale Family Dentistry& Orthodontics,pllc

NPI #1255704516 in Kennedale, Texas

Provider Information

NPI Number: 1255704516
Entity Type: Organization
Organization Name: Kennedale Family Dentistry& Orthodontics,pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 9, 2015
Last Updated: Nov 9, 2015

Practice Location

Address: 201 W KENNEDALE PKWY
Address 2: BUILDING5,SUITE512,
City: Kennedale
State: Texas
ZIP Code: 76060-2435
Phone: (469) 569-2368

Authorized Official

Name: MRS. PAM LINAVONG
Title: MANAGER
Phone: (469) 569-2368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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