Hendrickson Heetland Orthodontics

NPI 1053617431 - Dentist - 1223X0400X

NPI Details
NPI 1053617431
Enumeration Date 02/02/2011
Last Updated 02/22/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KELLY KELLY
Position ORTHODONTIST
Phone (940) 691-2911
Fax (940) 691-4240
Practice Location
2211 MIDWESTERN PKWY
SUITE 1
WICHITA FALLS TX, 76308-2300, US
Phone (940) 691-2911
Fax (940) 691-4240
Business Location
2211 MIDWESTERN PKWY
SUITE 1
WICHITA FALLS TX, 76308-2300, US
Phone (940) 691-2911
Fax (940) 691-4240
Toxanomy
Taxonomy Code 1223X0400X
License State Texas
License Number 0025867
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According to our database, Hendrickson Heetland Orthodontics NPI is 1053617431, taxonomy code is 1223X0400X and license number is 0025867, license state is located at Texas. Hendrickson Heetland Orthodontics physically located at 2211 Midwestern Pkwy, Wichita Falls TX, 76308-2300. NPI Number 1033115704 has the healthcare provider type.

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1053617431 NPI number is provided on an as is basis without warranty of any kind. 1053617431 is maintained by the National Plan & Provider Enumeration System. The contents of Hendrickson Heetland Orthodontics are for informational purposes only.