Organization
PEDIATRIC DENTISTRY FOR SMALL SMILES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TY HINZE D.D.S. (PRESIDENT)
(469) 441-2698
Entity
Organization
Contact information
Practice address
5971 VIRGINIA PARKWAY, STE. 300, MCKINNEY, TX 75071
(469) 441-2698
Mailing address
1631 ANTIQUE LN, BRENHAM, TX 77833-6760
(469) 441-2698
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23186
TX
Other
Enumeration date
08/29/2007
Last updated
09/12/2007
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