Organization
KILLEEN PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLY ALY (REGIONAL MANAGER)
(936) 419-3235
Entity
Organization
Contact information
Practice address
120 W CENTRAL TEXAS EXPY, SUITE 200, HARKER HEIGHTS, TX 76548-6600
(254) 699-4543
Mailing address
120 W CENTRAL TEXAS EXPY, SUITE 200, HARKER HEIGHTS, TX 76548-6600
(254) 699-4543
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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