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Organization
SMILES OF WYLIE PLLC
Active
Organization
SMILES OF WYLIE PLLC
Active
Other names
Wylie Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JUVERIA FAKHRUDDIN DDS (DENTIST/OWNER)
(972) 442-6879
Entity
Organization
Contact information
Practice address
2014 N HIGHWAY 78 STE 150, WYLIE, TX 75098-6091
(972) 442-6879
Mailing address
3610 W PIONEER PKWY STE 101, PANTEGO, TX 76013-4502
(972) 442-6879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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