# CYPRESS ORAL AND MAXILLOFACIAL SURGERY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790047702
- **Authorized official:** AMANDA NAVARRO (MANAGER)
- **Authorized official phone:** (832) 689-6311

## Contact information

- **Practice address:** 26321 NORTHWEST FWY, SUITE 700, CYPRESS, TX 77429-5758
- **Practice address phone:** (281) 256-8400
- **Practice address fax:** (281) 256-8412
- **Mailing address:** 26321 NORTHWEST FWY, SUITE 700, CYPRESS, TX 77429-5758
- **Mailing address phone:** (281) 256-8400
- **Mailing address fax:** (281) 256-8412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 24787 | TX | Yes |

## Other

- **Enumeration date:** 06/14/2012
- **Last updated:** 06/14/2012