Cleburne Oral Surgery PA

NPI #1043023088 in Cleburne, Texas

Provider Information

NPI Number
1043023088
Entity Type
Organization
Organization Name
Cleburne Oral Surgery PA
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jan 31, 2025
Last Updated
Jan 31, 2025

Practice Location

Address
2010 W KATHERINE P RAINES RD STE 700
State
Texas
ZIP Code
76033-7462
Phone
(817) 357-8999

Authorized Official

Name
DR. DAVID WAYNE KOSTOHRYZ JR., DDS, MD
Title
OWNER
Phone
(817) 357-8999

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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