Organization
PEDIATRIC DENTISTRY OF NORTHLAKE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ASHCROFT DMD, MSD (PRESIDENT)
(817) 706-9924
Entity
Organization
Contact information
Practice address
8151 THOMPSON ROAD, NORTHLAKE, TX 76247
(817) 706-9924
Mailing address
8151 THOMPSON ROAD, NORTHLAKE, TX 76247
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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