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Organization

FAIRVIEW-ALLEN ORTHODONTICS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLEN A GANDY DDS, MS (ORTHODONTIST)
(972) 727-3900
Entity
Organization

Contact information

Practice address
431 STACY RD, SUITE 109, FAIRVIEW, TX 75069-8741
(972) 727-3900
Mailing address
431 STACY RD, SUITE 109, FAIRVIEW, TX 75069-8741
(972) 727-3900

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20817
TX

Other

Enumeration date
07/27/2010
Last updated
07/27/2010
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