Texas Dental Orthodontics Practice, Pllc
NPI #1396478277 in Boerne, Texas
Provider Information
- NPI Number
- 1396478277
- 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 7, 2022
- Last Updated
- Jul 7, 2022
Practice Location
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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