| Oral And Facial Surgery Institute Pa | |
|
4724 Sweetwater Blvd Ste 105 Sugar Land TX 77479 | |
| (281) 491-4545 | |
| (281) 491-7134 |
| Full Name | Oral And Facial Surgery Institute Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4724 Sweetwater Blvd Ste 105, Sugar Land, Texas |
| Authorized Official Name and Position | Gina Casu (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7137906477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Facial Surgery Institute Pa 4724 Sweetwater Blvd Ste 105 Sugar Land TX 77479-3150 Ph: (281) 491-4545 | Oral And Facial Surgery Institute Pa 4724 Sweetwater Blvd Ste 105 Sugar Land TX 77479 Ph: (281) 491-4545 |
| NPI Number | 1003216250 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 08/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003216250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30729 (Texas) | Primary |
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