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1508 Fort Worth Hwy Suite 300 Weatherford TX 76086-4627 | |
(325) 660-3313 | |
(325) 695-9899 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1508 Fort Worth Hwy, Weatherford, Texas |
Authorized Official Name and Position | Dru Bart Bourland (OWNER/MANAGING PARTNER) |
Authorized Official Contact | 3256603313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4601 Buffalo Gap Rd Suite D-1 Abilene TX 79606-3375 Ph: (325) 660-3313 | 1508 Fort Worth Hwy Suite 300 Weatherford TX 76086-4627 Ph: (325) 660-3313 |
NPI Number | 1487978045 |
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Provider Enumeration Date | 03/24/2010 |
Last Update Date | 03/24/2010 |
Identifier | Type | State | Issuer |
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1487978045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | 18681 (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 | |