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Organization

CHILDREN'S DENTAL ARK

Active
Parent organization
CHILDREN'S DENTAL ARK
Other names
Cheryl Sellers DDS PA dba Children's Dental Ark
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN'S DENTAL ARK
Authorized official
MRS. CHERYL STASNY SELLERS DDS (PRESIDENT)
(830) 625-1234
Entity
Organization

Contact information

Practice address
19750 STATE HWY 46 W, STE. 105, SPRING BRANCH, TX 78070-6881
(830) 625-1222
(830) 625-3266
Mailing address
610 LANDA ST., NEW BRAUNFELS, TX 78130-6112
(830) 625-1234
(830) 625-3266

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11935
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160235101
TX
Enumeration date
10/03/2012
Last updated
10/03/2012
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