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Organization
PARK PLACE PEDIATRIC DENTISTRY
Active
Organization
PARK PLACE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE M FERGUSON D.D.S (OWNER)
(817) 465-1888
Entity
Organization
Contact information
Practice address
3602 MATLOCK RD, STE 208, ARLINGTON, TX 76015-3616
(817) 465-1888
(817) 466-8879
Mailing address
3602 MATLOCK RD, STE 208, ARLINGTON, TX 76015-3616
(817) 465-1888
(817) 466-8879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29889
TX
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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