Organization
FOURTH DIMENSION ORTHODONTICS & CRANIOFACIAL ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEJI V FASHEMO D.D.S., M.P.H. (DOCTOR)
(972) 566-3100
Entity
Organization
Contact information
Practice address
7777 FOREST LN, SUITE C-770, DALLAS, TX 75230-2505
(972) 566-3100
(972) 566-3200
Mailing address
7777 FOREST LN, SUITE C-770, DALLAS, TX 75230-2505
(972) 566-3100
(972) 566-3200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
03/11/2010
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