An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
TX license #9223taxonomy 1223P0221X
Identifiers
Type
Value
Notes
01 (TX)
G60005-1
TEXAS CHIP PROGAM
05 (TX)
169951701
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Fun Dentist - Center
Type code 3recorded 2022-01-21
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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