Eagle Mountain Pediatric Dentistry

NPI #1669080487 in Saginaw, Texas

Provider Information

NPI Number
1669080487
Entity Type
Organization
Organization Name
Eagle Mountain Pediatric Dentistry
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jul 17, 2020
Last Updated
Jul 17, 2020

Practice Location

Address
705 W BAILEY BOSWELL RD
State
Texas
ZIP Code
76179-1020
Phone
(817) 576-1600

Authorized Official

Name
JEREMY LUSTIG, DDS
Title
CEO
Phone
(214) 335-0862

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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