Individual
ALEXXA DOMINIQUE FACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W 8TH ST, TYLER, TX 75701-4102
(903) 597-3940
Mailing address
316 SHAHAN TRL, WHITEHOUSE, TX 75791-1215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41512
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2023
Last updated
07/04/2025
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