DR. Michael Wistrom, DDS
NPI #1528629094 in Cedar Hill, Texas
Provider Information
- NPI Number
- 1528629094
- Entity Type
- Individual
- Name
- DR. Michael Wistrom, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 25, 2019
- Last Updated
- Jun 4, 2025
Practice Location
- Address
- 398 E FM 1382 STE B
- City
- Cedar Hill
- State
- Texas
- ZIP Code
- 75104-6056
- Phone
- (972) 291-6262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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