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Organization
WOODLAKE MOLINA PLLC
Active
Organization
WOODLAKE MOLINA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO MOLINA DDS (PRESIDENT)
(305) 632-2530
Entity
Organization
Contact information
Practice address
2721 LITTLE ELM PKWY, LITTLE ELM, TX 75068-6685
(682) 888-0853
Mailing address
2721 LITTLE ELM PKWY, LITTLE ELM, TX 75068-6685
(682) 888-0853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27850
TX
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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