Dallas Fort Worth Endodontics, Pllc | |
1750 Cavender Dr Hurst TX 76054-3546 | |
(817) 786-4696 | |
Not Available |
Full Name | Dallas Fort Worth Endodontics, Pllc |
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Speciality | Dentist - Endodontics |
Location | 1750 Cavender Dr, Hurst, Texas |
Authorized Official Name and Position | Kyle Countryman (OWNER, ENDODONTIST) |
Authorized Official Contact | 9033407943 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dallas Fort Worth Endodontics, Pllc 14965 Oak St Addison TX 75001-1576 Ph: (903) 340-7943 | Dallas Fort Worth Endodontics, Pllc 1750 Cavender Dr Hurst TX 76054-3546 Ph: (817) 786-4696 |
NPI Number | 1639893027 |
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Provider Enumeration Date | 09/28/2022 |
Last Update Date | 09/28/2022 |
Identifier | Type | State | Issuer |
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1639893027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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