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Organization
ENDODONTIC AND PERIODONTIC SPECIALISTS
Active
Organization
ENDODONTIC AND PERIODONTIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER ORTIZ D.M.D. (ENDODONTIST/PARTNER)
(787) 367-2580
Entity
Organization
Contact information
Practice address
700 E CAMPBELL RD, SUITE 230, RICHARDSON, TX 75081-2041
(972) 479-1200
(972) 479-1203
Mailing address
700 E CAMPBELL RD, SUITE 230, RICHARDSON, TX 75081-2041
(972) 479-1200
(972) 479-1203
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
25874
TX
1223P0300X
Periodontics
Primary
26168
TX
Other
Enumeration date
11/16/2011
Last updated
12/05/2011
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