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Organization
WAVERLY-MCKINNEY PLLC
Active
Organization
WAVERLY-MCKINNEY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(817) 675-8753
Entity
Organization
Contact information
Practice address
3839 MCKINNEY AVE STE 130, DALLAS, TX 75204-1489
(972) 808-7679
Mailing address
PO BOX 196107, DALLAS, TX 75219-8621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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