Be A Kid Dental PLLC
Dentist, Pediatric Dentistry in Dallas, TX. Organization (NPI-2).
NPI number1134877830
StatusActive
Last updated in NPPESMar 13, 2022
Details
- NPI
- 1134877830
- Entity type
- Organization (NPI-2)
- Legal business name
- Be A Kid Dental PLLC
- Organization subpart
- No
- Enumeration date
- Mar 13, 2022
- Certification date
- Mar 13, 2022
- Last updated
- Mar 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
2222 Fort Worth Ave Ste 130Dallas, TX 75211-1864
Phone 972-979-8034
Mailing address
447 Ramblewood CirDesoto, TX 75115-4524
Phone 972-979-8034
Authorized official
Vernesha Lockhart
Pediatric Dentist/Owner
9729798034
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