Individual
EZRA BOEKWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 EASTGATE PLZ, BELLMEAD, TX 76705-2868
(254) 799-4867
Mailing address
121 EASTGATE PLZ, BELLMEAD, TX 76705-2868
(254) 799-4867
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27552
TX
Other
Enumeration date
01/26/2012
Last updated
04/27/2016
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