Organization
CARE FOR KIDS PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ROBERT PATRICK (OWNER)
(281) 608-7535
Entity
Organization
Contact information
Practice address
24510 EASTEX FWY STE 110, KINGWOOD, TX 77339-2698
(281) 608-7535
(281) 608-7537
Mailing address
24510 EASTEX FWY STE 110, KINGWOOD, TX 77339-2698
(281) 608-7535
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30790
TX
Other
Enumeration date
07/25/2016
Last updated
11/10/2018
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