Smiles of Wylie Pllc

NPI #1033757208 in Wylie, Texas

Provider Information

NPI Number: 1033757208
Entity Type: Organization
Organization Name: Smiles of Wylie Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 18, 2019
Last Updated: Dec 18, 2019

Practice Location

Address: 2014 N HIGHWAY 78 STE 150
City: Wylie
State: Texas
ZIP Code: 75098-6091
Phone: (972) 442-6879

Authorized Official

Name: JUVERIA FAKHRUDDIN, DDS
Title: DENTIST/OWNER
Phone: (972) 442-6879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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