Organization
DENTAL STATION FAMILY DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY MICHELE WINARICK D.D.S. (PRESIDENT)
(254) 772-1827
Entity
Organization
Contact information
Practice address
1701 LAKE SUCCESS DR, WACO, TX 76710-2964
(254) 772-1827
(254) 772-9594
Mailing address
1701 LAKE SUCCESS DR, WACO, TX 76710-2964
(254) 772-1827
(254) 772-9594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B20605
TX
Other
Enumeration date
09/29/2006
Last updated
06/24/2008
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