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Organization

G ORTHODONTICS

Active
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Organization

G ORTHODONTICS

Active
Parent organization
G ORTHODONTICS
Organization subpart
Yes

Provider details

NPI number
Legal business name
G ORTHODONTICS
Authorized official
YESENIA GARCIA DMD (OWNER)
(713) 436-1241
Entity
Organization

Contact information

Practice address
12004 SHADOW CREEK PKWY STE 100, PEARLAND, TX 77584-7327
(713) 436-1241
(713) 730-3656
Mailing address
12004 SHADOW CREEK PKWY STE 100, PEARLAND, TX 77584-7327
(713) 436-1241
(713) 730-3656

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
01/08/2019
Last updated
01/10/2019
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