Individual
WAYNE A. MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
3713 W 15TH ST, SUITE 403, PLANO, TX 75075-7754
(972) 596-9242
Mailing address
3713 W 15TH ST, SUITE 403, PLANO, TX 75075-7754
(972) 596-9242
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23538
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
P6467
TX
Other
Enumeration date
06/09/2007
Last updated
01/03/2017
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