Organization
TEXAS BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA GARCIA (CREDENTIALING SPECIALIST)
(972) 932-3918
Entity
Organization
Contact information
Practice address
100 KINGS FORT PKWY STE 100, KAUFMAN, TX 75142-3544
(972) 932-3918
Mailing address
101 S COIT RD # 36-315, RICHARDSON, TX 75080-5743
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
07/07/2021
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