| Orthodontics At The Dental And Implant Suite | |
|
458 Mid Cities Blvd Hurst TX 76054-2430 | |
| (817) 571-2100 | |
| Not Available |
| Full Name | Orthodontics At The Dental And Implant Suite |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 458 Mid Cities Blvd, Hurst, Texas |
| Authorized Official Name and Position | Bryan Elvebak (OWNER/PARTNER) |
| Authorized Official Contact | 8175712100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontics At The Dental And Implant Suite 458 Mid Cities Blvd Hurst TX 76054-2430 Ph: (817) 571-2100 | Orthodontics At The Dental And Implant Suite 458 Mid Cities Blvd Hurst TX 76054-2430 Ph: (817) 571-2100 |
| NPI Number | 1831490226 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 03/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831490226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20522 (Texas) | Primary |
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