Organization
HEWITT KIDS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BLACKWELDER DDS (PRESIDENT)
(254) 224-6008
Entity
Organization
Contact information
Practice address
113 BURNETT CT, WOODWAY, TX 76712-3100
(254) 224-6008
Mailing address
113 BURNETT CT, WOODWAY, TX 76712-3100
(254) 224-6008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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