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Organization
LAS COLINAS ORAL & FACIAL SURGERY
Active
Organization
LAS COLINAS ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY PAYNE (OFFICE MANAGER)
(972) 401-1100
Entity
Organization
Contact information
Practice address
7437 LAS COLINAS BLVD, #100, IRVING, TX 75063
(972) 401-1100
Mailing address
7437 LAS COLINAS BLVD., IRVING, TX 75063
(972) 401-1100
(972) 401-1125
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
05/04/2009
Last updated
07/28/2015
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