Alicia L. Dwyer, DDS, PA
Dentist, General Practice in Irving, TX. Organization (NPI-2).
NPI number1518174762
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1518174762
- Entity type
- Organization (NPI-2)
- Legal business name
- Alicia L. Dwyer, DDS, PA
- Organization subpart
- No
- Enumeration date
- May 17, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14620 | TX | Yes |
Practice location
9400 N Macarthur BlvdSuite 146
Irving, TX 75063-4705
Phone 972-556-2414 · Fax 972-869-3509
Mailing address
9400 N Macarthur BlvdSuite 146
Irving, TX 75063-4705
Phone 972-556-2414 · Fax 972-869-3509
Authorized official
Alicia L. Dwyer
President
9725562414
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