Organization
CREEKVIEW ORTHODONTICS, P.A.
Active
Organization
CREEKVIEW ORTHODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY GHOSH D.D.S., M.S. (ORTHODONTIST)
(214) 547-0001
Entity
Organization
Contact information
Practice address
1780 W MCDERMOTT DR STE 100, ALLEN, TX 75013-3362
(214) 547-0001
Mailing address
1780 W MCDERMOTT DR STE 100, ALLEN, TX 75013-3362
(214) 547-0001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19161
TX
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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