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NPI 1528883170 · Orthodontics and Dentofacial Orthopedics Dentistry · Arlington, TX
Provider details
- NPI number
- 1528883170
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 41147 (TX)
Specialties & taxonomies
Dental Providers
Practice location
4100 N Collins St Ste 100
Arlington, TX 76005-4550
Phone: (682) 257-8001
Approximate (ZIP-level) locationGet directions
Mailing address
1314 Woodmoor Dr
Allen, TX 75013-7002
Registry dates
- Enumerated
- 2024-11-19
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.