# DENTISTS OF WACO, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentists of Waco
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912542234
- **Authorized official:** JOAN THANH TO DMD (OWNER)
- **Authorized official phone:** (254) 230-0825

## Contact information

- **Practice address:** 1115B N VALLEY MILLS DR, WACO, TX 76710-4425
- **Practice address phone:** (254) 230-0825
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2019
- **Last updated:** 06/14/2022