Organization
COLUMBIA ORTHODONTICS PLLC
Active
Organization
COLUMBIA ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITA DESAI DDS (MEMBER)
(214) 517-8000
Entity
Organization
Contact information
Practice address
4611 COLUMBIA AVE, SUITE 104, DALLAS, TX 75226-2306
(214) 827-8000
(214) 827-8001
Mailing address
4611 COLUMBIA AVE, SUITE 104, DALLAS, TX 75226-2306
(214) 827-8000
(214) 827-8001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21968
TX
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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