Organization
ANNA PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WILLIAM LUDLOW DDS (PARTNER)
(214) 636-0001
Entity
Organization
Contact information
Practice address
2016 W WHITE ST # 300, ANNA, TX 75409-5171
(214) 636-0001
Mailing address
2016 W WHITE ST # 300, ANNA, TX 75409-5171
(214) 636-0001
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285615502
—
TX
Enumeration date
07/08/2021
Last updated
07/27/2022
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