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Organization

GO JUST FOR KIDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA L HERRON (INSURANCE COORDINATOR)
(972) 351-9700
Entity
Organization

Contact information

Practice address
9616 WEBB CHAPEL RD, DALLAS, TX 75220-4940
(214) 358-0939
(214) 358-4016
Mailing address
9616 WEBB CHAPEL RD, DALLAS, TX 75220-4940
(214) 358-0939
(214) 358-4016

Taxonomy

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

Other

Enumeration date
02/17/2012
Last updated
02/17/2012
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