Organization
DR. SHEILA BIRTH-ORTHODONTICS-KELLER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA BIRTH D. D.S., M.S. (ORTHODONTIST)
(817) 348-0910
Entity
Organization
Contact information
Practice address
4420 HERITAGE TRACE PKWY STE 300, FORT WORTH, TX 76244-8904
(817) 348-0910
Mailing address
4420 HERITAGE TRACE PKWY STE 300, FORT WORTH, TX 76244-8904
(817) 348-0910
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14150
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172836201
—
TX
Enumeration date
02/13/2007
Last updated
03/28/2014
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