Organization
PENNY AND HALL ORTHDONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C PENNY DDS, MS (GENERAL PARTNER)
(817) 599-9429
Entity
Organization
Contact information
Practice address
1442 S MAIN ST, WEATHERFORD, TX 76086-5531
(817) 599-9429
(817) 599-5352
Mailing address
1442 S MAIN ST, WEATHERFORD, TX 76086-5531
(817) 599-9429
(817) 599-5352
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10627
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
24373
TX
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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