Organization
BELTON TOTAL DENTAL AND ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2511 N MAIN ST STE 101, BELTON, TX 76513-1554
(254) 939-3113
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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