Organization
TRINITY PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGHAN KYLIE THORBURN DDS (PEDIATRIC DENTIST)
(469) 964-7347
Entity
Organization
Contact information
Practice address
4000 BRYANT IRVIN RD STE 208, FORT WORTH, TX 76109-4153
(830) 822-9100
Mailing address
4000 BRYANT IRVIN RD STE 208, FORT WORTH, TX 76109-4153
(469) 964-7347
(682) 207-6391
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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