Organization
SKJ DENTAL, PLLC
Active
Other names
Bellmead Kid's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA SAIZ (CREDENTIALING SPECIALIST)
(254) 338-1468
Entity
Organization
Contact information
Practice address
3200 BELLMEAD DR, BELLMEAD, TX 76705-3077
(254) 799-4000
Mailing address
3200 BELLMEAD DR, BELLMEAD, TX 76705-3077
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372888301
—
TX
05
—
372888302
—
TX
Enumeration date
06/18/2017
Last updated
12/16/2019
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