Organization
ALLEN KIDS DENTISTRY PLLC
Active
Other names
Jupiter Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEH ISAM TAIYM D.D.S. (PRESIDENT)
(972) 396-8080
Entity
Organization
Contact information
Practice address
600 E BETHANY DR, SUITE 130, ALLEN, TX 75002-4050
(972) 396-8080
Mailing address
600 E BETHANY DR, SUITE 130, ALLEN, TX 75002-4050
(972) 396-8080
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21706
TX
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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