Pediatric Dentistry of Northlake Pllc

NPI #1386109650 in Northlake, Texas

Provider Information

NPI Number
1386109650
Entity Type
Organization
Organization Name
Pediatric Dentistry of Northlake Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jan 31, 2019
Last Updated
Jan 31, 2019

Practice Location

Address
8151 THOMPSON ROAD
State
Texas
ZIP Code
76247
Phone
(817) 706-9924

Authorized Official

Name
JASON ASHCROFT, DMD, MSD
Title
PRESIDENT
Phone
(817) 706-9924

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Provider Name
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