David Wayne Kostohryz D.D.S

NPI 1609022102 - Dentist - 1223G0001X

NPI Details
NPI 1609022102
Gender Male
Enumeration Date 08/15/2008
Last Updated 08/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1119 8TH AVE
FORT WORTH TX, 76104-4102, US
Phone (817) 332-8400
Fax
Business Location
1119 8TH AVE
FORT WORTH TX, 76104-4102, US
Phone (817) 332-8400
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 11658
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According to our database, Dr. David Wayne Kostohryz D.D.S NPI is 1609022102, taxonomy code is 1223G0001X and license number is 11658, license state is located at Texas. David Wayne Kostohryz D.D.S physically located at 1119 8th Ave, Fort Worth TX, 76104-4102. NPI Number David Wayne Kostohryz D.D.S has the Individual type.

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1609022102 NPI number is provided on an as is basis without warranty of any kind. 1609022102 is maintained by the National Plan & Provider Enumeration System. The contents of David Wayne Kostohryz D.D.S are for informational purposes only.