Organization
PEDIATRIC DENTISTRY OF CEDAR HILL, P.L.L.C.
Active
Other names
Kids@Heart Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLA LARENDA MARTIN DDS (OWNER)
(318) 268-2620
Entity
Organization
Contact information
Practice address
450 N HIGHWAY 67, STE 100, CEDAR HILL, TX 75104-2135
(318) 268-2620
(866) 892-0774
Mailing address
450 N HIGHWAY 67, STE 100, CEDAR HILL, TX 75104-2135
(318) 268-2620
(866) 892-0774
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
25216
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871775635
NPI TYPE 1
TX
Enumeration date
11/15/2016
Last updated
11/15/2016
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