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Organization
WACO CENTER FOR ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Organization
WACO CENTER FOR ORAL & MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY CUNNINGHAM DDS,MD,FACS (OWNER/DDS, MD, FACS)
(254) 265-9636
Entity
Organization
Contact information
Practice address
7030 NEW SANGER AVE STE 100, WACO, TX 76712-4073
(254) 265-9636
Mailing address
500 E JOHN CARPENTER FWY STE 300, IRVING, TX 75062-3969
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
02/13/2023
Last updated
04/09/2025
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