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Organization
WATERFORD ORAL SURGERY
Active
Organization
WATERFORD ORAL SURGERY
Active
Other names
Waterford Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD ANTHONY SCHAFER DDS (OWNER/ ORAL SURGEON)
(254) 773-4444
Entity
Organization
Contact information
Practice address
5246 S 31ST ST, TEMPLE, TX 76502-3513
(254) 773-4444
(254) 773-4449
Mailing address
5246 S 31ST ST, TEMPLE, TX 76502-3513
(254) 773-4444
(254) 773-4449
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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