is a Orthodontics And Dentofacial Orthopedics in Fresno, Texas. practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for is 1194982991. The last update date is .
's current location address is 12125 Highway 6 Ste D, Fresno, Texas. You can contact this provider via phone number 2814318909 and fax number 2814318985. The mailing address for is 12125 Highway 6 Ste D, Fresno, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 12125 Highway 6 Ste D, Fresno, Texas |
Phone Number | 2814318909 |
Fax Number | 2814318985 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1194982991 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 12125 Highway 6 Ste D |
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City | Fresno |
State | Texas (TX) |
Post Code | 775458844 |
Phone Number | 2814318909 |
Fax Number | 2814318985 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 21485 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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161994211 | TX | -- |
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