Individual
DR. BEATRIZ ELLEN FORTANELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4215 FRANKLIN AVE, WACO, TX 76710-2529
(254) 227-6444
Mailing address
1506 PEASE RD UNIT B, AUSTIN, TX 78703-3413
(512) 739-4215
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
33068
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D12238
OR
Other
Enumeration date
02/21/2020
Last updated
08/18/2025
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