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1429 Clear Lake Rd Suite 300 Weatherford TX 76086-5895 | |
(817) 341-2777 | |
(817) 594-7099 |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1429 Clear Lake Rd, Weatherford, Texas |
Authorized Official Name and Position | Charles Daniel Stewart (MANAGING MEMBER) |
Authorized Official Contact | 8173466679 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1429 Clear Lake Rd Suite 300 Weatherford TX 76086-5895 Ph: (817) 341-2777 | 1429 Clear Lake Rd Suite 300 Weatherford TX 76086-5895 Ph: (817) 341-2777 |
NPI Number | 1184811705 |
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Provider Enumeration Date | 09/27/2007 |
Last Update Date | 02/08/2012 |
Identifier | Type | State | Issuer |
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1184811705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 11736 (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 | |