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Individual

DR. HENRY JAKOB WACHTENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2763 EPPS RD, ROYSE CITY, TX 75189-2803
(972) 635-9919
(972) 635-9918
Mailing address
2763 EPPS RD, ROYSE CITY, TX 75189-2803
(972) 635-9919
(972) 635-9918

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12084
TX

Other

Enumeration date
03/04/2010
Last updated
03/04/2010
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