| Fourth Dimension Orthodontics & Craniofacial Orthopedics | |
|
7777 Forest Ln Suite C-770 Dallas TX 75230-2505 | |
| (972) 566-3100 | |
| (972) 566-3200 |
| Full Name | Fourth Dimension Orthodontics & Craniofacial Orthopedics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7777 Forest Ln, Dallas, Texas |
| Authorized Official Name and Position | Deji V Fashemo (DOCTOR) |
| Authorized Official Contact | 9725663100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fourth Dimension Orthodontics & Craniofacial Orthopedics 7777 Forest Ln Suite C-770 Dallas TX 75230-2505 Ph: (972) 566-3100 | Fourth Dimension Orthodontics & Craniofacial Orthopedics 7777 Forest Ln Suite C-770 Dallas TX 75230-2505 Ph: (972) 566-3100 |
| NPI Number | 1184946931 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184946931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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