Organization
NUSTAR ORTHODONTICS, PLLC
Active
Other names
NuStar Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
LUZ FERNANDEZ (REGIONAL MANAGER)
(915) 274-7071
Entity
Organization
Contact information
Practice address
7878 GATEWAY BLVD E STE 300, EL PASO, TX 79915-1802
(210) 962-6421
Mailing address
3201 CHERRY RIDGE ST STE A101, SAN ANTONIO, TX 78230-4824
(210) 962-6421
(210) 340-0446
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/07/2023
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