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Organization
SPEARMINT KIDS AND ORTHODONTICS PLLC
Active
Organization
SPEARMINT KIDS AND ORTHODONTICS PLLC
Active
Other names
SPEARMINT KIDS AND ORTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA (LEAD OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
4111 SOUTHWEST PKWY SUITE #500, WICHITA FALLS, TX 76308
(940) 301-3669
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(940) 301-3669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
08/31/2022
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