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Organization

DENTALHUB OF WYLIE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUVERIA FAKHRUDDIN DDS (OWNER)
(219) 308-7221
Entity
Organization

Contact information

Practice address
3483 W.FM 544, UNIT- 112, WYLIE, TX 75098
(219) 308-7221
Mailing address
3483 W.FM 544, UNIT- 112, WYLIE, TX 75098
(219) 308-7221

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center

Other

Enumeration date
11/15/2019
Last updated
03/11/2025
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