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Organization
PALESTINE ORAL FACIAL SURGERY GROUP PLLC
Active
Organization
PALESTINE ORAL FACIAL SURGERY GROUP PLLC
Active
Other names
Southern Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G STONE JR. DDS (OWNER)
(903) 520-6448
Entity
Organization
Contact information
Practice address
1721 S SYCAMORE ST, PALESTINE, TX 75801-6921
(903) 723-5111
(903) 723-0328
Mailing address
1721 S SYCAMORE ST, PALESTINE, TX 75801-6921
(903) 723-5111
(903) 723-0328
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20511
TX
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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