Organization
ALTERRA DENTAL PLLC
Active
Other names
Orchard Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CASTLE DMD (MANAGER)
(559) 797-5053
Entity
Organization
Contact information
Practice address
2771 E BROAD ST STE 221, MANSFIELD, TX 76063-9157
(817) 473-2277
Mailing address
2771 E BROAD ST STE 221, MANSFIELD, TX 76063-9157
(817) 473-2277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28081
TX
1223G0001X
General Practice Dentistry
Primary
28021
TX
Other
Enumeration date
01/06/2015
Last updated
06/20/2023
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