Organization
KIWI PEDIATRIC DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA TREVINO DDS (OWNER/DOCTOR)
(281) 444-3999
Entity
Organization
Contact information
Practice address
17059 STUEBNER AIRLINE RD, SPRING, TX 77379
(281) 444-3999
(281) 444-8079
Mailing address
17059 STUEBNER AIRLINE RD, SPRING, TX 77379
(281) 444-3999
(281) 444-8079
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/16/2013
Last updated
11/02/2023
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