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Organization
REGAN PREWITT DDS PLLC
Active
Organization
REGAN PREWITT DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGAN PREWITT (DENTIST)
(972) 907-8157
Entity
Organization
Contact information
Practice address
1112 N FLOYD RD STE 6B, RICHARDSON, TX 75080-4243
(972) 907-8157
Mailing address
1112 N FLOYD RD STE 6B, RICHARDSON, TX 75080-4243
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23883
TX
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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