Fusion Dental- Hewitt Pllc

NPI #1114441755 in Waco, Texas

Provider Information

NPI Number: 1114441755
Entity Type: Organization
Organization Name: Fusion Dental- Hewitt Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 26, 2017
Last Updated: Jul 26, 2017

Practice Location

Address: 1605 HEWITT DR.
Address 2: SUITE 102
City: Waco
State: Texas
ZIP Code: 76712
Phone: (254) 799-4867

Authorized Official

Name: ANGELA JEFFCOAT
Title: OFFICE MANAGER
Phone: (254) 799-4867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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