| Dfw Oral And Maxillofacial Surgery, P.c. | |
|
1110 Cottonwood Ln Ste 110 Irving TX 75038-6111 | |
| (972) 594-7414 | |
| (972) 594-1834 |
| Full Name | Dfw Oral And Maxillofacial Surgery, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1110 Cottonwood Ln Ste 110, Irving, Texas |
| Authorized Official Name and Position | Anita Roush (PRACTICE MANAGER) |
| Authorized Official Contact | 9725947414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Oral And Maxillofacial Surgery, P.c. 1110 Cottonwood Ln Ste 110 Irving TX 75038-6111 Ph: (972) 594-7414 | Dfw Oral And Maxillofacial Surgery, P.c. 1110 Cottonwood Ln Ste 110 Irving TX 75038-6111 Ph: (972) 594-7414 |
| NPI Number | 1356526081 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356526081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20816 (Texas) | Primary |
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