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Organization
WISH KIDS DENTISTRY
Active
Organization
WISH KIDS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY DO (MANAGER)
(817) 383-0005
Entity
Organization
Contact information
Practice address
6805 NE LOOP 820 STE 402, NORTH RICHLAND HILLS, TX 76180-6687
(817) 383-0005
Mailing address
5729 LEBANON RD STE 144268, FRISCO, TX 75034-7260
(817) 383-0005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
12/16/2022
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