| Professional Orthodontic Associates Pc | |
|
701 N Hampton Rd Desoto TX 75115-4509 | |
| (972) 230-0155 | |
| (972) 230-0741 |
| Full Name | Professional Orthodontic Associates Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 N Hampton Rd, Desoto, Texas |
| Authorized Official Name and Position | Charles Ivan Williams (OWNER) |
| Authorized Official Contact | 9722300155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Orthodontic Associates Pc 701 N Hampton Rd Desoto TX 75115-4509 Ph: (972) 230-0155 | Professional Orthodontic Associates Pc 701 N Hampton Rd Desoto TX 75115-4509 Ph: (972) 230-0155 |
| NPI Number | 1861651291 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861651291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8495 (Texas) | Primary |
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