| NPI | 1003242660 |
|---|---|
| Doing Business As | WILLOW BEND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TAMARA LYNNETTE JONES Officer 972-732-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 27174) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |