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3839 Parker Rd Ste 104 Wylie TX 75098-7818 | |
| (469) 946-9905 | |
| (469) 890-2134 |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3839 Parker Rd Ste 104, Wylie, Texas |
| Authorized Official Name and Position | Todd James Baggaley (OWNER/PRESIDENT) |
| Authorized Official Contact | 7024966777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3296 County Road 2134 Caddo Mills TX 75135-6703 Ph: (702) 496-6777 | 3839 Parker Rd Ste 104 Wylie TX 75098-7818 Ph: (469) 946-9905 |
| NPI Number | 1518248590 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518248590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | S6-107 (Nevada) | Primary |
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