Boelman, Gunnar Anton

Boelman, Gunnar Anton is an sole proprietor health care provider with primary practice located at 3400 Texas Sage Trl Ste 136 , Fort Worth TX 76177-8604. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boelman, Gunnar Anton can be contacted via phone (817) 750-1300.

Contact Information

Primary practice address
3400 Texas Sage Trl Ste 136 Fort Worth TX 76177-8604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 36216 Texas

Profile Details

NPI number 1982220562
LBN Legal business name Boelman, Gunnar Anton
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2020
Last updated Jun 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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