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Organization
CENTRAL TEXAS ORAL SURGERY ASSC.
Active
Organization
CENTRAL TEXAS ORAL SURGERY ASSC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN SAMUEL BONASSO DDS (ORAL SURGEON)
(512) 320-1640
Entity
Organization
Contact information
Practice address
3200 RED RIVER, #400, AUSTIN, TX 78705
(512) 320-1640
(512) 320-1643
Mailing address
3200 RED RIVER, #400, AUSTIN, TX 78705
(512) 320-1640
(512) 320-1643
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18515
TX
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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