| Waverly-mckinney Pllc | |
|
3839 Mckinney Ave Ste 130 Dallas TX 75204-1489 | |
| (972) 808-7679 | |
| Not Available |
| Full Name | Waverly-mckinney Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3839 Mckinney Ave Ste 130, Dallas, Texas |
| Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
| Authorized Official Contact | 8176758753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waverly-mckinney Pllc Po Box 196107 Dallas TX 75219-8621 Ph: () - | Waverly-mckinney Pllc 3839 Mckinney Ave Ste 130 Dallas TX 75204-1489 Ph: (972) 808-7679 |
| NPI Number | 1073193504 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073193504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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