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Organization
SOUTHWEST FAMILY DENTISTRY & ORTHODONTICS PLLC
Active
Organization
SOUTHWEST FAMILY DENTISTRY & ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE CARMICHAEL III (OWNER)
(972) 276-0800
Entity
Organization
Contact information
Practice address
2221 W WALNUT ST, GARLAND, TX 75042-6665
(972) 276-0800
Mailing address
2221 W WALNUT ST, GARLAND, TX 75042-6665
(972) 276-0800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22973
TX
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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