Woodlake Family Dentistry

NPI 1558627687 - Dentist - 122300000X

NPI Details
NPI 1558627687
Enumeration Date 04/03/2012
Last Updated 04/03/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SCOTT SCOTT
Position OWNER
Phone (972) 793-0476
Fax
Practice Location
2721 LITTLE ELM PKWY
LITTLE ELM TX, 75068-6671, US
Phone (972) 793-0476
Fax
Business Location
2721 LITTLE ELM PKWY
LITTLE ELM TX, 75068-6671, US
Phone (972) 793-0476
Fax
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 22472
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According to our database, Woodlake Family Dentistry NPI is 1558627687, taxonomy code is 122300000X and license number is 22472, license state is located at Texas. Woodlake Family Dentistry physically located at 2721 Little Elm Pkwy, Little Elm TX, 75068-6671. NPI Number 1033115704 has the healthcare provider type.

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1558627687 NPI number is provided on an as is basis without warranty of any kind. 1558627687 is maintained by the National Plan & Provider Enumeration System. The contents of Woodlake Family Dentistry are for informational purposes only.