Organization
ISLAND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI SMITH (MANAGER)
(817) 477-9283
Entity
Organization
Contact information
Practice address
800 MATLOCK RD, MANSFIELD, TX 76063-9126
(817) 477-9283
(817) 453-5710
Mailing address
800 MATLOCK RD, MANSFIELD, TX 76063-9126
(817) 477-9283
(817) 453-5710
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12577 11979 12225
TX
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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