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Organization
MILESTONE DENTAL OF WAXAHACHIE, PLLC
Active
Organization
MILESTONE DENTAL OF WAXAHACHIE, PLLC
Active
Other names
Milestone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL FORONTANRAD (OPERATIONS MANAGER)
(469) 500-0270
Entity
Organization
Contact information
Practice address
1437 NORTH HIGHWAY 77, SUITE 10, WAXAHACHIE, TX 75165
(817) 635-6453
Mailing address
1437 NORTH HIGHWAY 77, SUITE 10, WAXAHACHIE, TX 75165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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