Organization
RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS
Active
Other names
Growing Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED JADID DDS (DENTIST)
(214) 697-4173
Entity
Organization
Contact information
Practice address
3610 SHIRE BLVD STE 110, RICHARDSON, TX 75082-2239
(214) 697-4173
Mailing address
3610 SHIRE BLVD STE 110, RICHARDSON, TX 75082-2239
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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