Organization · Type 2 NPI
Mikulencak Orthodontics
Orthodontics and Dentofacial Orthopedics Dentistry · Fort Worth, TX
Practice location
4544 Hartwood Dr
Fort Worth, TX 76109-1840
Mailing address
3208 Tanglewood Trl
Fort Worth, TX 76109-2014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 20876 (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…
Another provider at this address
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About NPI 1912187428
Mikulencak Orthodontics's National Provider Identifier is 1912187428, issued on Nov 13, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 7, 2008.