Organization
PEDIATRIC DENTISTRY ARLINGTON SOUTH, PLLC
Active
Other names
Fun Dentist-South
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W MILLER DDS, MS (OWNER)
(817) 478-2300
Entity
Organization
Contact information
Practice address
4220 LITTLE ROAD, ARLINGTON, TX 76016
(817) 478-2300
(817) 478-4904
Mailing address
4220 LITTLE ROAD, ARLINGTON, TX 76016
(817) 478-2300
(817) 478-4904
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
12597
TX
1223P0221X
Pediatric Dentistry
9178
TX
1223P0221X
Pediatric Dentistry
9223
TX
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285834201
—
TX
Enumeration date
08/25/2006
Last updated
01/30/2023
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