Ikids Orthodontics Burleson Pllc

NPI #1386090033 in Burleson, Texas

Provider Information

NPI Number: 1386090033
Entity Type: Organization
Organization Name: Ikids Orthodontics Burleson Pllc
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: May 12, 2016
Last Updated: Mar 4, 2021

Practice Location

Address: 809 SW ALSBURY BLVD
Address 2: STE. 100
City: Burleson
State: Texas
ZIP Code: 76028
Phone: (817) 295-1144

Authorized Official

Name: ALYSSA AGUILAR
Title: DIRECTOR OF REVENUE & CREDENTIALING
Phone: (817) 466-8554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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