Individual
NOAH FALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 GLADE RD STE 300, GRAPEVINE, TX 76051-4419
(817) 328-3001
Mailing address
440 MUSTANG DRAW TRL, MCKINNEY, TX 75071-0109
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
27845
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41868
TX
Other
Enumeration date
04/03/2025
Last updated
10/10/2025
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