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Individual

DR. IRWIN KENNETH ORNISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
11661 PRESTON RD STE 106, DALLAS, TX 75230-2715
(214) 373-9400
(214) 373-9419
Mailing address
11661 PRESTON RD STE 106, DALLAS, TX 75230-2715
(214) 373-9400
(214) 373-9419

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7112
TX

Other

Enumeration date
09/11/2009
Last updated
09/11/2009
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