Organization
CLEBURNE ORAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WAYNE KOSTOHRYZ JR. DDS, MD (OWNER)
(817) 357-8999
Entity
Organization
Contact information
Practice address
2010 W KATHERINE P RAINES RD STE 700, CLEBURNE, TX 76033-7462
(817) 357-8999
(817) 357-8998
Mailing address
2010 W KATHERINE P RAINES RD STE 700, CLEBURNE, TX 76033-7462
(817) 357-8999
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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