Greenville Pediatric Dentistry, P.a.

NPI 1003022930 - Dentist - 1223P0221X

NPI Details
NPI 1003022930
Enumeration Date 05/15/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHRYN ANN KATHRYN
Position PRESIDENT
Phone (903) 454-0771
Fax
Practice Location
3101 JOE RAMSEY BLVD E
SUITE 103A
GREENVILLE TX, 75401-7716, US
Phone (903) 454-0771
Fax
Business Location
3101 JOE RAMSEY BLVD E
SUITE 103A
GREENVILLE TX, 75401-7716, US
Phone (903) 454-0771
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Texas
License Number 19282
Remove 1003022930 NPI Number
 

According to our database, Greenville Pediatric Dentistry, P.a. NPI is 1003022930, taxonomy code is 1223P0221X and license number is 19282, license state is located at Texas. Greenville Pediatric Dentistry, P.a. physically located at 3101 Joe Ramsey Blvd E, Greenville TX, 75401-7716. NPI Number 1033115704 has the healthcare provider type.

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1003022930 NPI number is provided on an as is basis without warranty of any kind. 1003022930 is maintained by the National Plan & Provider Enumeration System. The contents of Greenville Pediatric Dentistry, P.a. are for informational purposes only.