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Perla Orthodontics Pc Valid NPI

Organization · Orthodontics and Dentofacial Orthopedics Dentistry · Grand Prairie, TX

NPI
1356645774
Type
Organization (Type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223X0400X
License number
24486 (TX)
Enumerated
2010-12-28
Last updated
2010-12-28
Practice location
692 W Pioneer Pkwy
Grand Prairie, TX 75051-4809
(972) 504-2000

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