Willow Bend Orthodontics, Pllc

NPI 1003242660 - Dentist - 1223X0400X

NPI Details
NPI 1003242660
Enumeration Date 09/16/2013
Last Updated 09/16/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TAMARA LYNNETTE TAMARA
Position OFFICER
Phone (972) 732-1400
Fax (972) 732-1535
Practice Location
5400 W PLANO PKWY STE 250
PLANO TX, 75093-4854, US
Phone (972) 732-1400
Fax (972) 732-1535
Business Location
5400 W PLANO PKWY STE 250
PLANO TX, 75093-4854, US
Phone (972) 732-1400
Fax (972) 732-1535
Toxanomy
Taxonomy Code 1223X0400X
License State Texas
License Number 27174
Remove 1003242660 NPI Number
 

According to our database, Willow Bend Orthodontics, Pllc NPI is 1003242660, taxonomy code is 1223X0400X and license number is 27174, license state is located at Texas. Willow Bend Orthodontics, Pllc physically located at 5400 W Plano Pkwy Ste 250, Plano TX, 75093-4854. NPI Number 1033115704 has the healthcare provider type.

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1003242660 NPI number is provided on an as is basis without warranty of any kind. 1003242660 is maintained by the National Plan & Provider Enumeration System. The contents of Willow Bend Orthodontics, Pllc are for informational purposes only.