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Organization
MEMORIAL DENTAL & ORTHODONTICS PLLC
Active
Organization
MEMORIAL DENTAL & ORTHODONTICS PLLC
Active
Other names
Memorial Dental & Orthodontics - Fate
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA RAMOS (CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1385 MEMORIAL PKWY, STE 5, FATE, TX 75189
(972) 382-7010
Mailing address
1385 MEMORIAL PKWY, STE 5, FATE, TX 75189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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