Organization
COMFORT ORTHODONTICS PC
Active
Other names
Dolphin Braces
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ FERNANDEZ (AUTHORIZED REPRESENTATIVE)
(915) 274-7071
Entity
Organization
Contact information
Practice address
1702 US HIGHWAY 181 STE A8, PORTLAND, TX 78374-3588
(361) 643-2255
(361) 643-2288
Mailing address
1702 US HIGHWAY 181 STE A8, PORTLAND, TX 78374-3588
(361) 643-2255
(361) 643-2288
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
12/07/2023
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