Ortho 360, LLP

NPI #1508084294 in Bastrop, Texas

Provider Information

NPI Number
1508084294
Entity Type
Organization
Organization Name
Ortho 360, LLP
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Apr 20, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
301 HIGHWAY 71 W
Address 2
SUITE 201
State
Texas
ZIP Code
78602-4105
Phone
(512) 321-1000

Authorized Official

Name
DR. STANTON J. HENRY, D.D.S., M.D.S.
Title
PARTNER
Phone
(512) 695-9404

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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