Individual provider · Type 1 NPI

Corey Menou, DDS

Pediatric Dentistry · Mansfield, TX

NPI number 1679014567 Active

Practice location

1830 E Broad St Ste 104
Mansfield, TX 76063-9161

Call (817) 473-7171 Map

Fax (817) 473-2594

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X34681 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1679014567

Corey Menou, DDS's National Provider Identifier is 1679014567, issued on Mar 13, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mansfield, TX. The record was last updated on Dec 11, 2019.