Organization · Type 2 NPI
Kovach Oral Surgery, PLLC
Oral and Maxillofacial Surgery (Dentist) · Willow Park, TX
NPI number
1962888149
Active
Practice location
4969 E Interstate 20 Service Rd N
Willow Park, TX 76087-3220
Fax (817) 441-5003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 23925 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
About NPI 1962888149
Kovach Oral Surgery, PLLC's National Provider Identifier is 1962888149, issued on Aug 10, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Willow Park, TX. The record was last updated on Mar 3, 2017.