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. |
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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 |
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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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