| Kyle Orthodontics | |
|
5401 Fm 1626 Ste 820 Kyle TX 78640-6066 | |
| (512) 800-2003 | |
| Not Available |
| Full Name | Kyle Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5401 Fm 1626 Ste 820, Kyle, Texas |
| Authorized Official Name and Position | Alexis Yvonne Tessler (PRESIDENT) |
| Authorized Official Contact | 5128002003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Orthodontics 5401 Fm 1626 Ste 820 Kyle TX 78640-6066 Ph: (512) 800-2003 | Kyle Orthodontics 5401 Fm 1626 Ste 820 Kyle TX 78640-6066 Ph: (512) 800-2003 |
| NPI Number | 1225373319 |
|---|---|
| Provider Enumeration Date | 11/30/2012 |
| Last Update Date | 11/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225373319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 27504 (Texas) | Primary |
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