| Dolphin Braces | |
|
1702 Us Highway 181 Ste A8 Portland TX 78374-3588 | |
| (361) 643-2255 | |
| (361) 643-2288 |
| Full Name | Dolphin Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1702 Us Highway 181 Ste A8, Portland, Texas |
| Authorized Official Name and Position | Luz Fernandez (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 9152747071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dolphin Braces 1702 Us Highway 181 Ste A8 Portland TX 78374-3588 Ph: (361) 643-2255 | Dolphin Braces 1702 Us Highway 181 Ste A8 Portland TX 78374-3588 Ph: (361) 643-2255 |
| NPI Number | 1013547116 |
|---|---|
| Provider Enumeration Date | 01/17/2020 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013547116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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