Organization
LITTLE BOOTS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN HOLTHAUS DDS (OWNER / PEDIATRIC DENTIST)
(314) 630-3689
Entity
Organization
Contact information
Practice address
3804 LENOX DR, FORT WORTH, TX 76107-1714
(314) 630-3689
Mailing address
3804 LENOX DR, FORT WORTH, TX 76107-1714
(314) 630-3689
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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