Organization
IRWIN K ORNISH DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN K ORNISH DDS MS (ORTHODONTIST PRESIDENT)
(214) 373-9400
Entity
Organization
Contact information
Practice address
11661 PRESTON RD, #106, DALLAS, TX 75230
(214) 373-9400
(214) 373-9419
Mailing address
11661 PRESTON RD, #106, DALLAS, TX 75230
(214) 373-9400
(214) 373-9419
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7112
TX
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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