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Organization
ALTERRA DENTAL PLLC
Active
Organization
ALTERRA DENTAL PLLC
Active
Other names
Orchard Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CASTLE DMD (MANAGER)
(559) 797-5053
Entity
Organization
Contact information
Practice address
2771 E BROAD ST STE 221, MANSFIELD, TX 76063-9157
(817) 473-2277
Mailing address
2771 E BROAD ST STE 221, MANSFIELD, TX 76063-9157
(817) 473-2277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28081
TX
1223G0001X
General Practice Dentistry
Primary
28021
TX
Other
Enumeration date
01/06/2015
Last updated
06/20/2023
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