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Organization
ACCESS DENTAL OF WICHITA FALLS PLLC
Active
Organization
ACCESS DENTAL OF WICHITA FALLS PLLC
Active
Other names
Access Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CARRILLO (MANAGER)
(972) 514-1672
Entity
Organization
Contact information
Practice address
3901 KEMP BLVD, WICHITA FALLS, TX 76308-2118
(972) 514-1672
Mailing address
8150 SPRINGWOOD DR # 150B, IRVING, TX 75063-5810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
10/25/2021
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