Provider Demographics
NPI:1063682003
Name:WALIA, SWEETA (DMD)
Entity Type:Individual
Prefix:
First Name:SWEETA
Middle Name:
Last Name:WALIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:SWEETA
Other - Middle Name:
Other - Last Name:WALIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:3401 WOLFE CIR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-2227
Mailing Address - Country:US
Mailing Address - Phone:214-862-3100
Mailing Address - Fax:
Practice Address - Street 1:909 W SPRING CREEK PKWY
Practice Address - Street 2:SUITE 490
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4472
Practice Address - Country:US
Practice Address - Phone:972-943-5777
Practice Address - Fax:972-543-5780
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22451122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist