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Organization
WEE CARE DENTAL PA
Active
Organization
WEE CARE DENTAL PA
Active
Other names
WEE CARE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASODA VARDHANI BOYAPATI (OWNER / PROVIDER)
(432) 558-3591
Entity
Organization
Contact information
Practice address
1103 W 6TH STREET, CRANE, TX 79731
(432) 558-3591
Mailing address
3113 FAIRFIELD LN, MIDLAND, TX 79705-1826
(432) 558-3591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28310
DENTAL LICENSE
TX
Enumeration date
10/03/2018
Last updated
06/19/2024
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