DR. Mark Wade Wingate, DDS

NPI #1992854376 in Waco, Texas

Provider Information

NPI Number: 1992854376
Entity Type: Individual
Name: DR. Mark Wade Wingate, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5001 LAKEWOOD DRIVE
City: Waco
State: Texas
ZIP Code: 76710-2920
Phone: (254) 772-0180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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