Organization
SPECIALIST IN ORTHODONTICS OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMONIA LEONARD (CREDENTIALING SPECIALIST)
(678) 244-4844
Entity
Organization
Contact information
Practice address
3301 ELDORADO PKWY STE 200, MCKINNEY, TX 75070-4200
(972) 542-7500
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
(678) 244-4844
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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