Organization
BUCKNER RSVGLC PLLC
Active
Other names
Alta Orthodontics and Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
NINA ABTAHI (MANAGER)
(214) 493-1216
Entity
Organization
Contact information
Practice address
2702 S BUCKNER BLVD # 111, DALLAS, TX 75227-6903
(214) 493-1216
Mailing address
2702 S BUCKNER BLVD # 111, DALLAS, TX 75227-6903
(214) 493-1216
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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