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Organization

APPLEWHITE DENTAL SMILES PLLC

Active
Other names
Applewhite Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAMONA LYNN APPLEWHITE D.D.S. (MANAGING PARTNER)
(817) 466-0200
Entity
Organization

Contact information

Practice address
6204 S COOPER ST, SUITE 104, ARLINGTON, TX 76001-5700
(817) 466-0200
Mailing address
6204 S COOPER ST, SUITE 104, ARLINGTON, TX 76001-5700
(817) 466-0200

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18732
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275609224
TX
Enumeration date
03/05/2012
Last updated
03/05/2012
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