Just For Kids Dental Ennis
Dentist, Pediatric Dentistry in Ennis, TX. Organization (NPI-2).
NPI number1629344239
StatusActive
Last updated in NPPESMar 28, 2012
Details
- NPI
- 1629344239
- Entity type
- Organization (NPI-2)
- Legal business name
- Just For Kids Dental Ennis
- Organization subpart
- No
- Enumeration date
- Mar 28, 2012
- Last updated
- Mar 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | TX | Yes |
Practice location
711 S Clay StEnnis, TX 75119-5748
Phone 972-351-9700 · Fax 888-222-9544
Mailing address
711 S Clay StEnnis, TX 75119-5748
Phone 972-351-9700 · Fax 888-222-9544
Authorized official
Martha L Herron
Insurance Coordinator
9723519700
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