Texas Dental Orthodontics Practice, Pllc
NPI #1093440026 in New Braunfels, Texas
Provider Information
- NPI Number
- 1093440026
- Entity Type
- Organization
- Organization Name
- Texas Dental Orthodontics Practice, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TEXAS DENTAL ORTHODONTICS PRACTICE, PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 22, 2022
- Last Updated
- Jul 22, 2022
Practice Location
- Address
- 1583 E COMMON ST STE 205
- City
- New Braunfels
- State
- Texas
- ZIP Code
- 78130-3174
- Phone
- (830) 625-2111
Authorized Official
- Name
- GREGORY KOSTELAC
- Title
- DATA ANALYST
- Phone
- (719) 372-5605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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