Organization
PARIS CHILDRENS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN I PEARSON DDS (CEO)
(817) 919-5932
Entity
Organization
Contact information
Practice address
4550 LAMAR AVE, 300, PARIS, TX 75462-5124
(903) 905-4905
Mailing address
4550 LAMAR AVE, 300, PARIS, TX 75462-5124
(903) 905-4905
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1554016-03
—
TX
Enumeration date
12/08/2009
Last updated
12/08/2009
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