Organization
ACCESS DENTAL OF WICHITA FALLS PLLC
Active
Other names
Access Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CARRILLO (MANAGER)
(972) 514-1672
Entity
Organization
Contact information
Practice address
3901 KEMP BLVD, WICHITA FALLS, TX 76308-2118
(972) 514-1672
Mailing address
8150 SPRINGWOOD DR # 150B, IRVING, TX 75063-5810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
10/25/2021
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