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Organization
HERITAGE ORAL AND FACIAL SURGERY, PLLC
Active
Organization
HERITAGE ORAL AND FACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DYLAN BOWLES DDS (MANAGER)
(910) 922-9644
Entity
Organization
Contact information
Practice address
1237 COUNTY ROAD 197, JONESBORO, TX 76538-1207
(254) 300-8804
(254) 350-2868
Mailing address
1237 COUNTY ROAD 197, JONESBORO, TX 76538-1207
(254) 300-8804
(254) 350-2868
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21840
TX
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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