Organization
TEXAS ORTHODONTICS DALLAS PLLC
Active
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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