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Organization
SMILE STUDIO OF WYLIE, PLLC
Active
Organization
SMILE STUDIO OF WYLIE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE JOHNSON (OFFICE MANAGER)
(972) 442-3028
Entity
Organization
Contact information
Practice address
1125 W FM 544, STE 700, WYLIE, TX 75098-4951
(972) 442-3028
(972) 442-3831
Mailing address
1125 W FM 544, STE. 700, WYLIE, TX 75098-4951
(972) 442-3028
(972) 442-3831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19412
TX
122300000X
Dentist
24605
TX
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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