Milestone Dental of Waxahachie, Pllc
NPI #1336496827 in Waxahachie, Texas
Provider Information
- NPI Number
- 1336496827
- Entity Type
- Organization
- Organization Name
- Milestone Dental of Waxahachie, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 14, 2012
- Last Updated
- Aug 14, 2012
Practice Location
- Address
- 1437 NORTH HIGHWAY 77
- Address 2
- SUITE 10
- City
- Waxahachie
- State
- Texas
- ZIP Code
- 75165
- Phone
- (817) 635-6453
Authorized Official
- Name
- RUSSELL FORONTANRAD
- Title
- OPERATIONS MANAGER
- Phone
- (469) 500-0270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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