Eagle Mountain Pediatric Dentistry
Dentist, Pediatric Dentistry in Saginaw, TX. Organization (NPI-2).
NPI number1669080487
StatusActive
Last updated in NPPESJul 17, 2020
Details
- NPI
- 1669080487
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Mountain Pediatric Dentistry
- Organization subpart
- No
- Enumeration date
- Jul 17, 2020
- Certification date
- Jul 17, 2020
- Last updated
- Jul 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
705 W Bailey Boswell RdSaginaw, TX 76179-1020
Phone 817-576-1600
Mailing address
3575 Lone Star Cir Ste 310Fort Worth, TX 76177-8908
Phone 817-350-6500
Authorized official
Jeremy Lustig
Ceo
2143350862
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Other Pediatric Dentistry providers in Saginaw, TX
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- Christina Phuc Huynh, DDSNPI 1578875340
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- Christopher John Walton, DDSNPI 1902120116
- Your Pediatric Dental Specialists Of Saginaw PLLCNPI 1619567229
All 6 Pediatric Dentistry providers in Saginaw · All 257 providers in Saginaw
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