MEDICARE: NGO & GARCES PEDIATRIC DENTISTRY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1033963186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NGO & GARCES PEDIATRIC DENTISTRY, PLLC

Provider Business Mailing Address
First Line	:	423 W COLORADO BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-2408
Country	:	US
Telephone Number	:	832-512-1810
Fax Number	:

Provider Business Practice Location Address
First Line	:	1222 N BISHOP AVE STE 500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-4178
Country	:	US
Telephone Number	:	214-833-8964
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	ANTHONY NGO
Credential	:	DDS
Telephone Number	:	832-512-1810

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	04/15/2024

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