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1528629094
MICHAEL WISTROM
CEDAR HILL, TX
NPI
1528629094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 35201)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
Dr. MICHAEL WISTROM DDS
398 E FM 1382 STE B
CEDAR HILL, TX 75104-6056
Phone number: 972-291-6262
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Mailing Address
Dr. MICHAEL WISTROM DDS
1980 NEWPORT DR
LANCASTER, TX 75146-4940
Phone number: 206-818-3884
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