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Organization
WILDFLOWER DENTAL AND ORTHODONTICS, PLLC
Active
Organization
WILDFLOWER DENTAL AND ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE JORDAN WALKINGTON DDS (OWNER)
(214) 872-2828
Entity
Organization
Contact information
Practice address
2111 E UNIVERSITY DR, 20, PROSPER, TX 75078-7240
(214) 872-2828
Mailing address
2111 E UNIVERSITY DR, 20, PROSPER, TX 75078-7240
(214) 872-2828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27907
TX
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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