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131 Mark Trl Waxahachie TX 75165-1359 | |
| (972) 938-1845 | |
| (972) 938-7718 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 131 Mark Trl, Waxahachie, Texas |
| Authorized Official Name and Position | Jeffrey Paul Kosoris (PRESIDENT) |
| Authorized Official Contact | 9729381845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
131 Mark Trl Waxahachie TX 75165-1359 Ph: (972) 938-1845 | 131 Mark Trl Waxahachie TX 75165-1359 Ph: (972) 938-1845 |
| NPI Number | 1396768735 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396768735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13101 (Texas) | Primary |
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Moore & Bodine Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 Ferris Ave, Waxahachie, TX 75165 Phone: 972-937-0424 | |
Ikids Pediatric Dentistry Waxahachie Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 N. Highway 77, Waxahachie, TX 75165 Phone: 817-466-8554 | |
W. Griggs Dehay D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 W Jefferson St, Waxahachie, TX 75165 Phone: 972-937-8433 Fax: 973-938-9655 |