Organization
MINT KIDS DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIELD HARRISON (OWNER)
(214) 821-6468
Entity
Organization
Contact information
Practice address
406 E CAMP WISDOM RD, DUNCANVILLE, TX 75116-2708
(972) 349-6307
(972) 349-6307
Mailing address
3201 W AIRPORT FWY STE 102, IRVING, TX 75062-5928
(972) 893-8730
(972) 893-8741
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/15/2019
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