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Waco Grins Pediatric Dentistry, Pllc
Pediatric Dentist in Waco, Texas
NPI 1720455306

Waco Grins Pediatric Dentistry, Pllc is a Pediatric Dentist based in Waco, TX and is specialized in Pediatric Dentistry. Waco Grins Pediatric Dentistry, Pllc practices in Waco, TX. The NPI Number for Waco Grins Pediatric Dentistry, Pllc is 1720455306 and holds a License No. 21649 (Texas).

The current practice location address for Waco Grins Pediatric Dentistry, Pllc is 1605 Lake Success Dr, Waco, TX and can be reached out via phone at 254-772-4184 and via fax at 254-776-8391.

Location: 1605 Lake Success Dr, Waco, TX, 76710-2908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720455306
Provider Name
Waco Grins Pediatric Dentistry, Pllc
Credential
Provider Entity Type
Organization
Address
1605 Lake Success Dr, Waco, TX, 76710-2908
Phone Number
254-772-4184
Fax Number
254-776-8391
Provider Enumeration Date
08/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1605 Lake Success Dr
City
Waco
State
Texas
Zip
76710-2908
Phone Number
254-772-4184
Fax Number
254-776-8391
person
Provider Business Mailing Address Details
Address
1605 Lake Success Dr
City
Waco
State
Texas
Zip
76710-2908
Phone Number
254-772-4184
Fax Number
254-776-8391
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
21649 (Texas)
Definition
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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