Organization
LEWISVILLE ORTHODONTIC ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN KRIEGER (MANAGER)
(972) 899-1465
Entity
Organization
Contact information
Practice address
2520 KING ARTHUR BLVD, SUITE 105, LEWISVILLE, TX 75056-6081
(972) 899-1465
Mailing address
2520 KING ARTHUR BLVD, SUITE 105, LEWISVILLE, TX 75056-6081
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30523
TX
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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