Organization
DALLAS FORT WORTH ENDODONTICS, PLLC
Active
Other names
DFW Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE COUNTRYMAN DDS (OWNER, ENDODONTIST)
(903) 340-7943
Entity
Organization
Contact information
Practice address
1750 CAVENDER DR, HURST, TX 76054-3546
(817) 786-4696
Mailing address
14965 OAK ST, ADDISON, TX 75001-1576
(903) 340-7943
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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