Organization · Type 2 NPI
Affordable Dentist Near Me In Waco PLLC
Dental Clinic/Center · Waco, TX
NPI number
1760842587
Active
Practice location
4573 Lake Shore Dr
Waco, TX 76710-1814
Fax (877) 230-8349
Mailing address
5416 Basswood Blvd
Fort Worth, TX 76137-4400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 24570 (TX) |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1760842587
Affordable Dentist Near Me In Waco PLLC's National Provider Identifier is 1760842587, issued on Mar 7, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Waco, TX. The record was last updated on May 8, 2024.