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Organization
WESTMORELAND DENTAL & ORTHODONTICS, PA
Active
Organization
WESTMORELAND DENTAL & ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NGUYEN (OFFICE MANAGER)
(214) 827-7733
Entity
Organization
Contact information
Practice address
4809 COLUMBIA AVENUE, SUITE B, DALLAS, TX 75226
(214) 827-7733
(214) 827-7772
Mailing address
4809 COLUMBIA AVENUE, SUITE B, DALLAS, TX 75226
(214) 827-7733
(214) 827-7772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21453
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B21453-02
TEXAS CHIP
TX
Enumeration date
01/12/2007
Last updated
02/28/2008
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