Organization
PICKETT FAMILY DENTAL PLLC
Active
Other names
Pickett Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON PICKETT DDS (OWNER)
(817) 431-5514
Entity
Organization
Contact information
Practice address
1135 KELLER PKWY, KELLER, TX 76248-3614
(817) 431-5514
(817) 431-8048
Mailing address
1135 KELLER PKWY, KELLER, TX 76248-3614
(817) 431-5514
(817) 431-8048
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31668
TX
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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