Community Dental for Kids
NPI #1942740618 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1942740618
- Entity Type
- Organization
- Organization Name
- Community Dental for Kids
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 1, 2017
- Last Updated
- Mar 1, 2017
Practice Location
- Address
- 1108 W DICKINSON BLVD STE B
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735-4201
- Phone
- (480) 734-4712
Authorized Official
- Name
- CHARLES MCKENZIE, DDS
- Title
- OWNER
- Phone
- (480) 734-4712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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