Waxahachie Modern Dentistry, PC
NPI #1679118996 in Waxahachie, Texas
Provider Information
- NPI Number
- 1679118996
- Entity Type
- Organization
- Organization Name
- Waxahachie Modern Dentistry, PC
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 11, 2019
- Last Updated
- Feb 8, 2022
Practice Location
- Address
- 1400 N HIGHWAY 77 STE 300
- City
- Waxahachie
- State
- Texas
- ZIP Code
- 75165-7847
- Phone
- (469) 712-2960
Authorized Official
- Name
- DIANA DO-YABUT, DMD
- Title
- OWNER
- Phone
- (469) 712-2960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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