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Organization

TEXAS CHILDRENS DENTISTRY PLLC

Active
Other names
Southern Stars Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CLAIRISSA HOLLAND (OPERATIONS MANAGER)
(512) 739-6229
Entity
Organization

Contact information

Practice address
700 MARKET ST STE 103, CEDAR PARK, TX 78613-2684
(512) 739-6229
Mailing address
700 MARKET ST STE 103, CEDAR PARK, TX 78613-2684
(512) 739-6229

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
03/24/2022
Last updated
03/24/2022
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