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Organization
AMAREN SURGICAL PLLC
Active
Organization
AMAREN SURGICAL PLLC
Active
Other names
North Texas Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY QUIETT (CREDENTIALING SPECIALIST)
(918) 297-8951
Entity
Organization
Contact information
Practice address
2300 W FM 544 STE 240, WYLIE, TX 75098-4931
(469) 596-7722
(469) 596-7720
Mailing address
2300 W FM 544 STE 240, WYLIE, TX 75098-4931
(469) 596-7722
(469) 596-7720
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
01/13/2020
Last updated
05/14/2021
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