Organization · Type 2 NPI
Ikids Pediatric Dentistry Fort Worth, P.c.
Pediatric Dentistry · Fort Worth, TX
NPI number
1710250097
Active
Practice location
4504 W Vickery Blvd
Fort Worth, TX 76107
Mailing address
2500 E Broad St Ste 204
Mansfield, TX 76063-4361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 24272 (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.
Another provider at this address
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About NPI 1710250097
Ikids Pediatric Dentistry Fort Worth, P.c.'s National Provider Identifier is 1710250097, issued on Feb 16, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 4, 2021.