| Ikids Orthodontics Burleson PLLC | |
|
809 Sw Alsbury Blvd Ste. 100 Burleson TX 76028 | |
| (817) 295-1144 | |
| Not Available |
| Full Name | Ikids Orthodontics Burleson PLLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 809 Sw Alsbury Blvd, Burleson, Texas |
| Authorized Official Name and Position | Alyssa Aguilar (DIRECTOR OF REVENUE & CREDENTIALING) |
| Authorized Official Contact | 8174668554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikids Orthodontics Burleson PLLC 2500 E Broad St Ste 204 Mansfield TX 76063-4361 Ph: (817) 466-8554 | Ikids Orthodontics Burleson PLLC 809 Sw Alsbury Blvd Ste. 100 Burleson TX 76028 Ph: (817) 295-1144 |
| NPI Number | 1386090033 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386090033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 24272 (Texas) | Primary |
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