Individual
DR. IRISH ABIGAIL MARTINEZ TONGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
3201 WESTERN CENTER BLVD STE 115, FORT WORTH, TX 76137-7135
(872) 578-7800
Mailing address
3200 MCKINNEY AVE APT 405, DALLAS, TX 75204-2544
(321) 297-5208
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33779
TX
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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