Wylie Dental Group Pllc

NPI #1073139937 in Wylie, Texas

Provider Information

NPI Number: 1073139937
Entity Type: Organization
Organization Name: Wylie Dental Group Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 17, 2020
Last Updated: Jun 17, 2020

Practice Location

Address: 600 COOPER DR STE 140
City: Wylie
State: Texas
ZIP Code: 75098-3969
Phone: (646) 662-3105

Authorized Official

Name: DR. ANDREW XU, DDS
Title: MEMEBER MANAGER
Phone: (646) 662-3105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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