Smile Studio of Wylie, Pllc

NPI #1598000325 in Wylie, Texas

Provider Information

NPI Number: 1598000325
Entity Type: Organization
Organization Name: Smile Studio of Wylie, Pllc
Primary Specialty: Dentist
Enumeration Date: Dec 5, 2012
Last Updated: Dec 5, 2012

Practice Location

Address: 1125 W FM 544
Address 2: STE 700
City: Wylie
State: Texas
ZIP Code: 75098-4951
Phone: (972) 442-3028

Authorized Official

Name: JULIE JOHNSON
Title: OFFICE MANAGER
Phone: (972) 442-3028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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