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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