Organization
DALLAS ORTHODONTIC SPECIALISTS PLLC
Active
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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