# DR. MOIZ MOHAMMED ABDUL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wylie Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316595168
- **Authorized official:** MRS. SHARON GARZA (CREDENTIALING MANAGER)
- **Authorized official phone:** (469) 706-7057

## Contact information

- **Practice address:** 2014 N HIGHWAY 78 STE 150, WYLIE, TX 75098-6091
- **Practice address phone:** (972) 442-6879
- **Practice address fax:** (972) 429-7923
- **Mailing address:** 2014 N HIGHWAY 78 STE 150, WYLIE, TX 75098-6091
- **Mailing address phone:** (972) 442-6879
- **Mailing address fax:** (972) 429-7923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2019
- **Last updated:** 08/27/2019
