| Woodlands Orthodontic Group | |
|
2211 Rayford Rd Ste. 117 Spring TX 77386-1555 | |
| (281) 367-2211 | |
| Not Available |
| Full Name | Woodlands Orthodontic Group |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2211 Rayford Rd, Spring, Texas |
| Authorized Official Name and Position | David Mouritsen (ORTHODONTIST) |
| Authorized Official Contact | 5128797471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands Orthodontic Group 2211 Rayford Rd Ste. 117 Spring TX 77386-1555 Ph: (281) 367-2211 | Woodlands Orthodontic Group 2211 Rayford Rd Ste. 117 Spring TX 77386-1555 Ph: (281) 367-2211 |
| NPI Number | 1053845115 |
|---|---|
| Provider Enumeration Date | 04/16/2017 |
| Last Update Date | 04/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053845115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 25478 (Texas) | Primary |
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