Organization
GIGGLES & GRINS PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY K WATTS DDS (CO-OWNER)
(817) 488-3533
Entity
Organization
Contact information
Practice address
2915 E SOUTHLAKE BLVD, SUITE 200, SOUTHLAKE, TX 76092-6626
(817) 488-3533
(817) 421-9221
Mailing address
2915 E SOUTHLAKE BLVD, SUITE 200, SOUTHLAKE, TX 76092-6626
(817) 488-3533
(817) 421-9221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23819
TX
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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