Organization
CORSICANA CHILDRENS DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN I PEARSON DDS (OWNER)
(903) 874-5437
Entity
Organization
Contact information
Practice address
842 W 7TH AVE, SUITE D, CORSICANA, TX 75110-6318
(903) 847-5437
(972) 499-1040
Mailing address
842 W 7TH AVE, SUITE D, CORSICANA, TX 75110-6318
(903) 847-5437
(972) 499-1040
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21036
TX
Other
Enumeration date
11/28/2011
Last updated
12/26/2011
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