Organization
WYLIE ORTHODONTIC SPECIALISTS
Active
Parent organization
WYLIE ORTHODONTIC SPECIALISTS
Other names
LT Ortho
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYLIE ORTHODONTIC SPECIALISTS
Authorized official
MISS ZELINA TURNER (INSURANCE AND FINANCE COORDINATOR)
(972) 907-9900
Entity
Organization
Contact information
Practice address
100 N CENTRAL EXPY, #1107, RICHARDSON, TX 75080-5332
(972) 907-9900
Mailing address
100 N CENTRAL EXPY, #1107, RICHARDSON, TX 75080-5332
(972) 907-9900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
TX
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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