| Bouyean Dentistry Pllc | |
|
1108 W Dickinson Blvd Ste B Fort Stockton TX 79735-4201 | |
| (432) 336-8700 | |
| Not Available |
| Full Name | Bouyean Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1108 W Dickinson Blvd Ste B, Fort Stockton, Texas |
| Authorized Official Name and Position | Nickolas Kim (DENTIST) |
| Authorized Official Contact | 7025051257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bouyean Dentistry Pllc 1108 W Dickinson Blvd Ste B Fort Stockton TX 79735-4201 Ph: (432) 336-8700 | Bouyean Dentistry Pllc 1108 W Dickinson Blvd Ste B Fort Stockton TX 79735-4201 Ph: (432) 336-8700 |
| NPI Number | 1558085563 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558085563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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