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Organization
HEWITT FAMILY DENTAL
Active
Organization
HEWITT FAMILY DENTAL
Active
Other names
Fusion Dental and Braces- Hewitt
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R JENNINGS DDS (OWNER)
(940) 206-8956
Entity
Organization
Contact information
Practice address
1605 HEWITT DR STE 102, WOODWAY, TX 76712-8628
(254) 224-6600
Mailing address
2109 COMMERCE ST # 200, DALLAS, TX 75201-4305
(972) 248-1221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/14/2022
Last updated
02/14/2024
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