Organization
TEXAS ORTHODONTICS DALLAS PLLC
Active
Other names
Texas Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ROBERT WALDER (OWNER)
(972) 215-7645
Entity
Organization
Contact information
Practice address
2731 W NORTHWEST HWY, #104, DALLAS, TX 75220-4788
(972) 215-7645
(888) 302-6633
Mailing address
215 S FM 548, STE A, FORNEY, TX 75126-4129
(972) 215-7645
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24486
TX
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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