| Richardson Oral Surgery And Implant Center Pllc | |
|
1070 W Campbell Rd Suite 200 Richardson TX 75080-2941 | |
| (972) 231-6661 | |
| (972) 231-3161 |
| Full Name | Richardson Oral Surgery And Implant Center Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1070 W Campbell Rd, Richardson, Texas |
| Authorized Official Name and Position | Campbell Bourland (DOCTOR/OWNER) |
| Authorized Official Contact | 9722316661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richardson Oral Surgery And Implant Center Pllc 1070 W Campbell Rd Suite 200 Richardson TX 75080-2941 Ph: (972) 231-6661 | Richardson Oral Surgery And Implant Center Pllc 1070 W Campbell Rd Suite 200 Richardson TX 75080-2941 Ph: (972) 231-6661 |
| NPI Number | 1013392463 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013392463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22690 (Texas) | Primary |
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