Organization
WACO GRINS PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH RICE D.D.S. (DENTIST)
(254) 772-4184
Entity
Organization
Contact information
Practice address
1605 LAKE SUCCESS DR, WACO, TX 76710-2908
(254) 772-4184
(254) 776-8391
Mailing address
1605 LAKE SUCCESS DR, WACO, TX 76710-2908
(254) 772-4184
(254) 776-8391
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21649
TX
Other
Enumeration date
08/30/2015
Last updated
08/30/2015
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