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Organization
OZA DENTAL PLLC
Active
Organization
OZA DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY OZA (MANAGER)
(201) 744-0760
Entity
Organization
Contact information
Practice address
1561 SW WILSHIRE BLVD, SUITE 435, BURLESON, TX 76028-8719
(201) 744-0760
Mailing address
1601 TOWNE CROSSING BLVD, APT 1213, MANSFIELD, TX 76063-8905
(201) 744-0760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340662101
—
TX
Enumeration date
01/11/2016
Last updated
01/11/2016
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