Organization
JUST FOR KIDS DENTAL ENNIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA L HERRON (INSURANCE COORDINATOR)
(972) 351-9700
Entity
Organization
Contact information
Practice address
711 S CLAY ST, ENNIS, TX 75119-5748
(972) 351-9700
(888) 222-9544
Mailing address
711 S CLAY ST, ENNIS, TX 75119-5748
(972) 351-9700
(888) 222-9544
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
TX
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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