Organization
ENDODONTIC ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD KANTZ D.D.S., PH.D. (PRESIDENT/OWNER)
(817) 283-5544
Entity
Organization
Contact information
Practice address
1100 AIRPORT FWY STE 105, BEDFORD, TX 76022-6658
(817) 283-5544
(817) 283-5873
Mailing address
1100 AIRPORT FWY STE 105, BEDFORD, TX 76022-6658
(817) 283-5544
(827) 283-5873
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8197
TX
1223E0200X
Endodontics
—
TX
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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