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 #28784taxonomy 1223P0221X
Identifiers
Type
Value
Notes
01
1619250123
INDIVIDUAL NPI
05 (TX)
3194185-03
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Central Park Pediatric Dentistry
Type code 3recorded 2024-10-21
Central Park Pediatric Dentistry
Type code 3recorded 2024-10-15
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Plus 2 secondary practice locations.
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