Brant Boling, Dds, Pllc | |
1429 Clear Lake Rd Ste 700 Weatherford TX 76086-5805 | |
(817) 598-0835 | |
(817) 598-0845 |
Full Name | Brant Boling, Dds, Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1429 Clear Lake Rd Ste 700, Weatherford, Texas |
Authorized Official Name and Position | Brant Boling (MANAGER) |
Authorized Official Contact | 8175980835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brant Boling, Dds, Pllc 1429 Clear Lake Rd Ste 700 Weatherford TX 76086-5805 Ph: (817) 598-0835 | Brant Boling, Dds, Pllc 1429 Clear Lake Rd Ste 700 Weatherford TX 76086-5805 Ph: (817) 598-0835 |
NPI Number | 1790916146 |
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Provider Enumeration Date | 08/03/2009 |
Last Update Date | 01/20/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790916146 | NPI | - | NPPES |
1962664-04 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 019240 (Texas) | Primary |
Kyle Meason Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 Phone: 817-341-7825 | |