| Wylie Dental Group Pllc | |
|
600 Cooper Dr Ste 140 Wylie TX 75098-3969 | |
| (646) 662-3105 | |
| Not Available |
| Full Name | Wylie Dental Group Pllc |
|---|---|
| Speciality | Dentist |
| Location | 600 Cooper Dr Ste 140, Wylie, Texas |
| Authorized Official Name and Position | Andrew Xu (MEMEBER MANAGER) |
| Authorized Official Contact | 6466623105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wylie Dental Group Pllc 600 Cooper Dr Ste 140 Wylie TX 75098-3969 Ph: (646) 662-3105 | Wylie Dental Group Pllc 600 Cooper Dr Ste 140 Wylie TX 75098-3969 Ph: (646) 662-3105 |
| NPI Number | 1073139937 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073139937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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