Organization
BURLESON PEDIATRIC DENTAL CENTER LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
101 NW RENFRO ST STE 106, BURLESON, TX 76028-4178
(817) 447-7474
Mailing address
101 NW RENFRO ST STE 106, BURLESON, TX 76028-4178
(817) 447-7474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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