Organization
LUCKY TEETH PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZIAD MASOUD DDS (OWNER PEDIATRIC DENTIST)
(857) 333-9441
Entity
Organization
Contact information
Practice address
11851 FM423, SUITE 500, LITTLE ELM, TX 75068
(972) 798-8282
(972) 798-8060
Mailing address
11851 FM423, SUITE 500, LITTLE ELM, TX 75068
(972) 798-8282
(972) 798-8060
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
02/21/2018
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