| Kovach Oral Surgery, Pllc | |
|
4969 E Interstate 20 Service Rd N Willow Park TX 76087-3220 | |
| (817) 441-5000 | |
| (817) 441-5003 |
| Full Name | Kovach Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4969 E Interstate 20 Service Rd N, Willow Park, Texas |
| Authorized Official Name and Position | Todd A Kovach (MANAGING MEMBER) |
| Authorized Official Contact | 8174415000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kovach Oral Surgery, Pllc 4969 E Interstate 20 Service Rd N Willow Park TX 76087-3220 Ph: (817) 441-5000 | Kovach Oral Surgery, Pllc 4969 E Interstate 20 Service Rd N Willow Park TX 76087-3220 Ph: (817) 441-5000 |
| NPI Number | 1962888149 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 03/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962888149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 23925 (Texas) | Primary |
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