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Organization

KIDSTOWN DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMY LYNN LUEDEMANN DDS, MS (PEDIATRIC DENTIST)
(281) 433-1244
Entity
Organization

Contact information

Practice address
27110 CINCO RANCH SUITE 900, KATY, TX 77494
(281) 433-1244
Mailing address
27110 CINCO RANCH SUITE 900, KATY, TX 77494
(281) 433-1244

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24032
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220749001
TX
Enumeration date
06/07/2012
Last updated
06/07/2012
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