Perla Orthodontics PC

NPI #1952604522 in Desoto, Texas

Provider Information

NPI Number: 1952604522
Entity Type: Organization
Organization Name: Perla Orthodontics PC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Dec 21, 2010
Last Updated: Dec 21, 2010

Practice Location

Address: 921 W BELT LINE RD
City: Desoto
State: Texas
ZIP Code: 75115-3822
Phone: (972) 223-9600

Authorized Official

Name: DR. BENJAMIN R WALDER, DDS
Title: PRESIDENT, OWNER
Phone: (310) 413-8899

Specialties & Taxonomy Codes

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

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Organizations

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