Organization
DALLAS ORTHODONTIC SPECIALISTS PLLC
Active
Other names
OrthodonTEX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ROBERT SHAW DDS, MS (MANAGING PARTNER)
(972) 722-1500
Entity
Organization
Contact information
Practice address
3018 RIDGE RD, SUITE 110, ROCKWALL, TX 75032-5811
(972) 722-1500
Mailing address
3018 RIDGE RD, SUITE 110, ROCKWALL, TX 75032-5811
(972) 722-1500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30541
TX
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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