| Bop Dental Specialists | |
|
1605 Lake Success Dr Waco TX 76710-2908 | |
| (254) 224-6008 | |
| Not Available |
| Full Name | Bop Dental Specialists |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1605 Lake Success Dr, Waco, Texas |
| Authorized Official Name and Position | Aaron Blackwelder (MANAGER) |
| Authorized Official Contact | 2542246008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bop Dental Specialists 1121 Lake Air Dr Waco TX 76710-4417 Ph: () - | Bop Dental Specialists 1605 Lake Success Dr Waco TX 76710-2908 Ph: (254) 224-6008 |
| NPI Number | 1598454191 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598454191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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