| Wichita Falls Family Dental Pllc | |
|
2200 Kell Blvd Wichita Falls TX 76309-4401 | |
| (940) 322-2252 | |
| Not Available |
| Full Name | Wichita Falls Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2200 Kell Blvd, Wichita Falls, Texas |
| Authorized Official Name and Position | William Robert Jennings (OWNER) |
| Authorized Official Contact | 9402068956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wichita Falls Family Dental Pllc 2109 Commerce St # 200 Dallas TX 75201-4305 Ph: (972) 248-1221 | Wichita Falls Family Dental Pllc 2200 Kell Blvd Wichita Falls TX 76309-4401 Ph: (940) 322-2252 |
| NPI Number | 1770241416 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770241416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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