| NPI | 1134637119 |
|---|---|
| Doing Business As | KIDZANIA PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HUSSAM GHARRAPH Owner 817-483-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 29173) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 28910) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |