Organization
PEDIATRIC PRO CHILDREN'S DENTISTRY & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI BAYAT DMD (OWNER PEDIATRIC DENTIST)
(214) 380-5054
Entity
Organization
Contact information
Practice address
1234 NORTHWEST HWY, GARLAND, TX 75041-5834
(978) 729-6801
Mailing address
1234 NORTHWEST HWY, GARLAND, TX 75041-5834
(214) 380-5054
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27545
TX
Other
Enumeration date
04/06/2015
Last updated
08/03/2015
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