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General NPI Number Information
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NPI Number | 1457208068
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Entity Type | Organization
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Legal Business Name | WICHITA FALLS DENTURES AND DENTAL IMPLANTS, PLLC.
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 4446 SOUTHWEST PKWY
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City | WICHITA FALLS
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State | TX
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Zip | 76308-3331
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Country | US
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Telephone | 817-496-2343
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Fax |
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Provider Business Mailing Address
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Address Line | 4446 SOUTHWEST PKWY
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City | WICHITA FALLS
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State | TX
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Zip | 76308-3331
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Country | US
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Telephone | 940-692-5093
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KARINA DAVILA
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Credential | BILLING MANAGER
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Telephone | 817-496-2343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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