Organization
PACKARD ORTHODONTICS PA
Active
Organization
PACKARD ORTHODONTICS PA
Active
Other names
Apple Orthodontix
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA M. HAWKINS RDA (OPERATIONS MANAGER)
(972) 578-7800
Entity
Organization
Contact information
Practice address
840 CENTRAL PKWY E, SUITE 100, PLANO, TX 75074-5551
(972) 578-7800
(972) 867-9211
Mailing address
840 CENTRAL PKWY E, SUITE 100, PLANO, TX 75074-5551
(972) 578-7800
(972) 867-9211
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13930
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171851201
—
TX
Enumeration date
03/27/2007
Last updated
04/27/2010
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