| Brian Wakefield Dds Pc | |
|
326 S Edmonds Ln Suite #105 Lewisville TX 75067-3580 | |
| (972) 221-9334 | |
| Not Available |
| Full Name | Brian Wakefield Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 326 S Edmonds Ln, Lewisville, Texas |
| Authorized Official Name and Position | Brian Wakefield (PRESIDENT) |
| Authorized Official Contact | 9722219334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Wakefield Dds Pc 326 S Edmonds Ln Suite #105 Lewisville TX 75067-3580 Ph: () - | Brian Wakefield Dds Pc 326 S Edmonds Ln Suite #105 Lewisville TX 75067-3580 Ph: (972) 221-9334 |
| NPI Number | 1700203189 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700203189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20738 (Texas) | Primary |
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