Bouyean Dentistry Pllc
NPI #1558085563 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1558085563
- Entity Type
- Organization
- Organization Name
- Bouyean Dentistry Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 3, 2022
- Last Updated
- Oct 3, 2022
Practice Location
- Address
- 1108 W DICKINSON BLVD STE B
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735-4201
- Phone
- (432) 336-8700
Authorized Official
- Name
- DR. NICKOLAS KIM, DDS
- Title
- DENTIST
- Phone
- (702) 505-1257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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