Kids and Grownups Dental

NPI #1457992166 in Irving, Texas

Provider Information

NPI Number: 1457992166
Entity Type: Organization
Organization Name: Kids and Grownups Dental
Primary Specialty: Dentist
Enumeration Date: Oct 3, 2019
Last Updated: Oct 3, 2019

Practice Location

Address: 2651 TEXAS DR
City: Irving
State: Texas
ZIP Code: 75062-7016
Phone: (972) 255-4164

Authorized Official

Name: CARRIE RODRIGUEZ
Title: OFFICE MANAGER
Phone: (972) 255-4164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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