Organization · Type 2 NPI

Walnut Ridge Orthodontics

Orthodontics and Dentofacial Orthopedics Dentistry · Mansfield, TX

NPI number 1629331608 Active

Practice location

3807 E Broad St Ste 101
Mansfield, TX 76063-5623

Fax (682) 292-1373

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	24724 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1629331608

Walnut Ridge Orthodontics's National Provider Identifier is 1629331608, issued on Jun 24, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Mansfield, TX. The record was last updated on Jun 24, 2012.