Organization
PAVENTY & BROWN ORTHODONTICS II LLC
Active
Organization
PAVENTY & BROWN ORTHODONTICS II LLC
Active
Other names
Paventy & Brown Orthodontics- Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYER RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
410 E ELLENDALE AVE STE 2, DALLAS, OR 97338-3052
(971) 468-0220
(971) 468-0220
Mailing address
410 E ELLENDALE AVE STE 2, DALLAS, OR 97338-3052
(971) 468-0220
(971) 468-0220
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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