Individual
DR. J W SHADDIX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1204 THOMASVILLE COURT, GARLAND, TX 75044
(972) 414-4000
Mailing address
1204 THOMASVILLE COURT, GARLAND, TX 75044
(972) 414-4000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9159
TX
Other
Enumeration date
05/02/2007
Last updated
05/20/2015
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