Organization
KIM FRETTY ORTHODONTICS PLLC
Active
Other names
Hut, Hutto Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNEIL KIMBERLY FRETTY (PRESIDENT)
(903) 918-2519
Entity
Organization
Contact information
Practice address
6989 HIGHLANDS LN, TYLER, TX 75703-0639
(903) 561-7873
Mailing address
6989 HIGHLANDS LN, TYLER, TX 75703-0639
(903) 561-7873
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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