| Perla Orthodontics Pc | |
|
692 W Pioneer Pkwy Grand Prairie TX 75051-4809 | |
| (972) 504-2000 | |
| (888) 302-6633 |
| Full Name | Perla Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 692 W Pioneer Pkwy, Grand Prairie, 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 692 W Pioneer Pkwy Grand Prairie TX 75051-4809 Ph: (972) 504-2000 |
| NPI Number | 1356645774 |
|---|---|
| Provider Enumeration Date | 12/28/2010 |
| Last Update Date | 12/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356645774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24486 (Texas) | Primary |
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