| Wildflower Dental And Orthodontics, Pllc | |
|
2111 E University Dr 20 Prosper TX 75078-7240 | |
| (214) 872-2828 | |
| Not Available |
| Full Name | Wildflower Dental And Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2111 E University Dr, Prosper, Texas |
| Authorized Official Name and Position | Kyle Jordan Walkington (OWNER) |
| Authorized Official Contact | 2148722828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildflower Dental And Orthodontics, Pllc 2111 E University Dr 20 Prosper TX 75078-7240 Ph: (214) 872-2828 | Wildflower Dental And Orthodontics, Pllc 2111 E University Dr 20 Prosper TX 75078-7240 Ph: (214) 872-2828 |
| NPI Number | 1134652720 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134652720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27907 (Texas) | Primary |
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