Individual
DR. DAVID WAYNE KOSTOHRYZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4545 BELLAIRE DR SOUTH, SUITE 8, FORT WORTH, TX 76109
(817) 332-8400
(817) 332-8413
Mailing address
4545 BELLAIRE DR SOUTH, SUITE 8, FORT WORTH, TX 76109
(817) 332-8400
(817) 332-8413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11658
TX
Other
Enumeration date
08/15/2008
Last updated
09/03/2019
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