WICHITA SMILES

WICHITA FALLS, TX
NPI1780047522
Entity TypeOrganization
Authorized ContactJEFFREY BULLOCK JOHNSON
Owner/Dentist
940-761-5979
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  30183)
Enumeration Date2016-03-30
Last Update Date2016-03-30
Business Address
WICHITA SMILES
2120 VIRGINIA DR STE A
WICHITA FALLS, TX 76309-4646
Phone number: 940-761-5979
Mailing Address
WICHITA SMILES
2120 VIRGINIA DR STE A
WICHITA FALLS, TX 76309-4646
Phone number: 940-761-5979
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