Waco Kids Dental PC

NPI #1598041659 in Waco, Texas

Provider Information

NPI Number
1598041659
Entity Type
Organization
Organization Name
Waco Kids Dental PC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Nov 2, 2011
Last Updated
Nov 2, 2011

Practice Location

Address
1121 LAKE AIR DR
City
Waco
State
Texas
ZIP Code
76710-4417
Phone
(254) 772-8330

Authorized Official

Name
AARON BLACKWELDER, DDS
Title
PRESIDENT
Phone
(254) 772-8330

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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