Organization
ORTHODONTIC CENTERS OF TEXAS, INC
Active
Other names
East Texas Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH WILLIAM STURRUP D.D.S., M.S. (ORTHODONTIST)
(903) 509-4422
Entity
Organization
Contact information
Practice address
212 GRANDE BLVD STE B226, TYLER, TX 75703-4231
(903) 509-4422
(903) 509-4420
Mailing address
212 GRANDE BLVD STE B226, TYLER, TX 75703-4231
(903) 509-4422
(903) 509-4420
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8352
TX
Other
Enumeration date
04/19/2007
Last updated
08/13/2008
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