Organization
CHILDREN'S DENTAL AT PRESTON TRAIL, PC
Active
Parent organization
CHILDREN'S DENTAL AT PRESTON TRAIL, PC
Other names
Park Place Pediatric Dentistry and Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S DENTAL AT PRESTON TRAIL, PC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CRED AND PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
3602 MATLOCK RD STE 208, ARLINGTON, TX 76015-3600
(817) 465-1888
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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