Organization
SPARKLE ORTHODONTICS
Active
Other names
Smiley Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEJOKE FATUNDE BDS MS (ORTHODONTIST)
(972) 205-9990
Entity
Organization
Contact information
Practice address
1815 OLD MILL RUN, GARLAND, TX 75042
(972) 205-9990
(972) 205-9990
Mailing address
1815 OLD MILL RUN, GARLAND, TX 75042
(972) 205-9990
(972) 205-9991
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20296
TX
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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