Individual
CHARLES WILLIAM WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
326 S EDMONDS LN, LEWISVILLE, TX 75067-3580
(972) 221-9334
(972) 436-7130
Mailing address
326 S EDMONDS LN, LEWISVILLE, TX 75067-3580
(972) 221-9334
(972) 436-7130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18399
TX
Other
Enumeration date
07/31/2008
Last updated
07/16/2015
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