Go Just For Kids
Dentist, Pediatric Dentistry in Dallas, TX. Organization (NPI-2).
NPI number1851664023
StatusActive
Last updated in NPPESFeb 17, 2012
Details
- NPI
- 1851664023
- Entity type
- Organization (NPI-2)
- Legal business name
- Go Just For Kids
- Organization subpart
- No
- Enumeration date
- Feb 17, 2012
- Last updated
- Feb 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | TX | Yes |
Practice location
9616 Webb Chapel RdDallas, TX 75220-4940
Phone 214-358-0939 · Fax 214-358-4016
Mailing address
9616 Webb Chapel RdDallas, TX 75220-4940
Phone 214-358-0939 · Fax 214-358-4016
Authorized official
Martha L Herron
Insurance Coordinator
9723519700
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