| Fourth Dimension Orthodontics & Craniofacial Orthopedics, Pllc | |
|
7717 Outreau Dr Corpus Christi TX 78414-6148 | |
| (361) 985-0964 | |
| Not Available |
| Full Name | Fourth Dimension Orthodontics & Craniofacial Orthopedics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7717 Outreau Dr, Corpus Christi, Texas |
| Authorized Official Name and Position | Deji V. Fashemo (MEMBER) |
| Authorized Official Contact | 3619850964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fourth Dimension Orthodontics & Craniofacial Orthopedics, Pllc 7717 Outreau Dr Corpus Christi TX 78414-6148 Ph: (361) 985-0964 | Fourth Dimension Orthodontics & Craniofacial Orthopedics, Pllc 7717 Outreau Dr Corpus Christi TX 78414-6148 Ph: (361) 985-0964 |
| NPI Number | 1295976082 |
|---|---|
| Provider Enumeration Date | 03/09/2009 |
| Last Update Date | 03/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295976082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 21639 (Texas) | Primary |
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