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Individual

BRANT W BOLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1429 CLEAR LAKE RD STE 700, WEATHERFORD, TX 76086-8806
(817) 598-0835
(817) 598-0845
Mailing address
1429 CLEAR LAKE RD STE 700, WEATHERFORD, TX 76086-8806
(817) 598-0835
(817) 598-0845

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19240
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
196266404
TX
Enumeration date
02/06/2006
Last updated
04/28/2026
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