Organization
AWESOME KIDS DENTISTRY PLLC
Active
Other names
Lake Cities Pediatric Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT YAMOAH DDS (AUTHORIZED OFFICIAL)
(214) 455-4487
Entity
Organization
Contact information
Practice address
3502 CORINTH PKWY # 400, CORINTH, TX 76208-5481
(214) 455-4487
Mailing address
2904 GROVELAND CT, DENTON, TX 76210-0587
(214) 455-4487
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/13/2020
Last updated
11/02/2022
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