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 #30592taxonomy 1223P0221X
Identifiers
Type
Value
Notes
05 (TX)
345124701
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Mangum Park Dentistry For Children
Type code 3recorded 2018-01-23
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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