Individual
OMAR ALEJANDRO BETANCOURT IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 E CAMP WISDOM RD, DUNCANVILLE, TX 75116-2708
(833) 550-6468
Mailing address
406 E CAMP WISDOM RD, DUNCANVILLE, TX 75116-2708
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DTP752
FL
Other
Enumeration date
01/31/2022
Last updated
11/18/2025
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