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Organization
ORAL CANCER RECONSTRUCTIVE SURGEONS OF TEXAS PLLC
Active
Organization
ORAL CANCER RECONSTRUCTIVE SURGEONS OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY BROWN DDS (OWNER)
(817) 431-6995
Entity
Organization
Contact information
Practice address
359 KELLER PKWY, KELLER, TX 76248-2206
(817) 431-6995
Mailing address
359 KELLER PKWY, KELLER, TX 76248-2206
(817) 431-6995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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