| Perla Orthodontics Pc | |
|
921 W Belt Line Rd Desoto TX 75115-3822 | |
| (972) 223-9600 | |
| Not Available |
| Full Name | Perla Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 921 W Belt Line Rd, Desoto, Texas |
| Authorized Official Name and Position | Benjamin R Walder (PRESIDENT, OWNER) |
| Authorized Official Contact | 3104138899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perla Orthodontics Pc 215 S Fm 548 Ste A Forney TX 75126-4130 Ph: (972) 215-7645 | Perla Orthodontics Pc 921 W Belt Line Rd Desoto TX 75115-3822 Ph: (972) 223-9600 |
| NPI Number | 1952604522 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952604522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24486 (Texas) | Primary |
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