| NPI | 1437976701 |
|---|---|
| Doing Business As | DICKERSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA-ROCHA Sr Credentialing Team Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |