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Brant Boling, Dds, Pllc
Pediatric Dentist in Weatherford, Texas
NPI 1790916146

Brant Boling, Dds, Pllc is a Pediatric Dentist based in Weatherford, TX and is specialized in Pediatric Dentistry. Brant Boling, Dds, Pllc practices in Weatherford, TX. The NPI Number for Brant Boling, Dds, Pllc is 1790916146 and holds a License No. 019240 (Texas).

The current practice location address for Brant Boling, Dds, Pllc is 1429 Clear Lake Rd Ste 700, Weatherford, TX and can be reached out via phone at 817-598-0835 and via fax at 817-598-0845.

Location: 1429 Clear Lake Rd Ste 700, Weatherford, TX, 76086-5805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790916146
Provider Name
Brant Boling, Dds, Pllc
Credential
Provider Entity Type
Organization
Address
1429 Clear Lake Rd Ste 700, Weatherford, TX, 76086-5805
Phone Number
817-598-0835
Fax Number
817-598-0845
Provider Enumeration Date
08/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962664-04 05 TX
institution
Provider Business Practice Location Address Details
Address
1429 Clear Lake Rd Ste 700
City
Weatherford
State
Texas
Zip
76086-5805
Phone Number
817-598-0835
Fax Number
817-598-0845
person
Provider Business Mailing Address Details
Address
1429 Clear Lake Rd Ste 700
City
Weatherford
State
Texas
Zip
76086-5805
Phone Number
817-598-0835
Fax Number
817-598-0845
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019240 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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