Individual
DR. BRIAN E. WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
326 S EDMONDS LN STE 105, SUITE 140, LEWISVILLE, TX 75067-3507
(972) 221-9334
Mailing address
326 S EDMONDS LN STE 105, SUITE 140, LEWISVILLE, TX 75067-3507
(972) 221-9334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20738
TX
Other
Enumeration date
03/20/2007
Last updated
02/04/2014
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