Organization
GREENVILLE PEDIATRIC DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ANN KREIDER DMD (PRESIDENT)
(903) 454-0771
Entity
Organization
Contact information
Practice address
3101 JOE RAMSEY BLVD E, SUITE 103A, GREENVILLE, TX 75401-7716
(903) 454-0771
Mailing address
3101 JOE RAMSEY BLVD E, SUITE 103A, GREENVILLE, TX 75401-7716
(903) 454-0771
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19282
TX
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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