Boon Dental Alliance P.a.
NPI #1306065693 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1306065693
- Entity Type
- Organization
- Organization Name
- Boon Dental Alliance P.a.
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 713 N. MAIN
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735
- Phone
- (432) 336-6466
Authorized Official
- Name
- DR. PRASITH R THAMMASITHIBOON, DMD
- Title
- OWNER
- Phone
- (469) 733-8183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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