Specialist In Orthodontics Of Texas Pllc | |
3301 Eldorado Pkwy Ste 200 Mckinney TX 75070-4200 | |
(972) 542-7500 | |
Not Available |
Full Name | Specialist In Orthodontics Of Texas Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3301 Eldorado Pkwy Ste 200, Mckinney, Texas |
Authorized Official Name and Position | Tamonia Leonard (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 6782444844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Specialist In Orthodontics Of Texas Pllc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 Ph: (678) 244-4844 | Specialist In Orthodontics Of Texas Pllc 3301 Eldorado Pkwy Ste 200 Mckinney TX 75070-4200 Ph: (972) 542-7500 |
NPI Number | 1487293783 |
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Provider Enumeration Date | 01/03/2020 |
Last Update Date | 01/03/2020 |
Identifier | Type | State | Issuer |
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1487293783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Fasttrax Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Virginia Pkwy, Suite 500, Mckinney, TX 75071 Phone: 972-548-8200 Fax: 972-548-1230 | |
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