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Organization
WAXAHACHIE MODERN DENTISTRY, PC
Active
Organization
WAXAHACHIE MODERN DENTISTRY, PC
Active
Other names
Waxahachie Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA DO-YABUT DMD (OWNER)
(469) 712-2960
Entity
Organization
Contact information
Practice address
1400 N HIGHWAY 77 STE 300, WAXAHACHIE, TX 75165-7847
(469) 712-2960
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
02/08/2022
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