Organization
FOURTH DIMENSION ORTHODONTICS & CRANIOFACIAL ORTHOPEDICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEJI V. FASHEMO DDS (MEMBER)
(361) 985-0964
Entity
Organization
Contact information
Practice address
7717 OUTREAU DR, CORPUS CHRISTI, TX 78414-6148
(361) 985-0964
Mailing address
7717 OUTREAU DR, CORPUS CHRISTI, TX 78414-6148
(361) 985-0964
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21639
TX
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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