Organization
SPRINGVAND ORTHODONTICS PLLC
Active
Other names
Elate Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KAVEH BAHARVAND AHMADI DMD (OWNER ORTHODONTIST)
(617) 699-2519
Entity
Organization
Contact information
Practice address
4713 HIGHWAY 121 STE 304, THE COLONY, TX 75056-2901
(972) 538-4343
Mailing address
4713 HIGHWAY 121 STE 304, THE COLONY, TX 75056-2901
(972) 538-4343
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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