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Organization
SPEARMINT DENTAL WICHITA FALLS PLLC
Active
Organization
SPEARMINT DENTAL WICHITA FALLS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3201 LAWRENCE RD STE 375, WICHITA FALLS, TX 76308-1638
(940) 691-4867
(972) 869-3791
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
05/04/2022
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