Organization
APPLEWHITE DENTAL PLLC
Active
Other names
Koala Center for Sleep Disorders TX-1
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK TAYLOR (OFFICE MANAGER/CO-OWNER)
(817) 913-3537
Entity
Organization
Contact information
Practice address
4927 LAKE RIDGE PKWY, SUITE 140, GRAND PRAIRIE, TX 75052-3087
(817) 913-3537
Mailing address
4927 LAKE RIDGE PKWY, SUITE 140, GRAND PRAIRIE, TX 75052-3087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18732
TX
Other
Enumeration date
07/21/2015
Last updated
12/08/2015
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