# ORION DENTAL-WATONGA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932527660
- **Authorized official:** MARY PU (VP OF FINANCE)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 321 N CLARENCE NASH BLVD, WATONGA, OK 73772-3605
- **Practice address phone:** (972) 869-3789
- **Mailing address:** 2403 LACY LN, CARROLLTON, TX 75006-6514
- **Mailing address phone:** (972) 869-3789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2014
- **Last updated:** 03/31/2014