Applewhite Dental PLLC
Dentist in Grand Prairie, TX. Organization (NPI-2).
NPI number1205211174
StatusActive
Last updated in NPPESDec 8, 2015
Details
- NPI
- 1205211174
- Entity type
- Organization (NPI-2)
- Legal business name
- Applewhite Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2015
- Last updated
- Dec 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 18732 | TX | Yes |
Other names
- Koala Center For Sleep Disorders Tx-1 (Doing Business As)
Practice location
4927 Lake Ridge PkwySuite 140
Grand Prairie, TX 75052-3087
Phone 817-913-3537
Mailing address
4927 Lake Ridge PkwySuite 140
Grand Prairie, TX 75052-3087
Authorized official
Derrick Taylor
Office Manager/Co-Owner
8179133537
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