Kyle Countryman, DDS Valid NPI
Individual provider · Endodontics · Flower Mound, TX
- NPI
- 1437633054
- Type
- Individual (Type 1)
- Primary specialty
- Endodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223E0200X
- License number
- 34996 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-09-19
- Last updated
- 2019-10-01
Practice location
4421 Long Prairie Rd Ste 400
Flower Mound, TX 75028-1752
(972) 691-3636