Organization
TOOTH CASTLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ANGELES FUENTES DDS (MANAGER)
(972) 416-7000
Entity
Organization
Contact information
Practice address
2001 E BELT LINE RD, CARROLLTON, TX 75006-5701
(972) 416-7000
Mailing address
PO BOX 32067, PHOENIX, AZ 85064-2067
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20674
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20674
TX
Other
Enumeration date
07/30/2012
Last updated
12/17/2012
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