| Park Forest Oral And Maxillofacial Surgery | |
|
2304 W Interstate 20 150 Arlington TX 75254-1674 | |
| (817) 466-8080 | |
| (817) 466-8082 |
| Full Name | Park Forest Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2304 W Interstate 20, Arlington, Texas |
| Authorized Official Name and Position | Haroon None Ismaili (OWNER) |
| Authorized Official Contact | 8174668080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Forest Oral And Maxillofacial Surgery 2304 W Interstate 20 150 Arlington TX 75254-1674 Ph: (817) 466-8080 | Park Forest Oral And Maxillofacial Surgery 2304 W Interstate 20 150 Arlington TX 75254-1674 Ph: (817) 466-8080 |
| NPI Number | 1790910776 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790910776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 24439 (Texas) | Primary |
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