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1278 Justin Rd Suite 108 Lewisville TX 75077-2231 | |
| (972) 317-1581 | |
| (972) 318-4836 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1278 Justin Rd, Lewisville, Texas |
| Authorized Official Name and Position | William James Guthrie (PRESIDENT) |
| Authorized Official Contact | 9723171581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1278 Justin Rd Suite 108 Lewisville TX 75077-2231 Ph: (972) 317-1581 | 1278 Justin Rd Suite 108 Lewisville TX 75077-2231 Ph: (972) 317-1581 |
| NPI Number | 1902816796 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902816796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12840 (Texas) | Primary |
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