| NPI | 1679118996 |
|---|---|
| Doing Business As | WAXAHACHIE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DIANA DO-YABUT Owner 469-712-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2022-02-08 |