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Organization
ORAL SURGERY ASSOCIATES OF NORTH TEXAS, PC
Active
Organization
ORAL SURGERY ASSOCIATES OF NORTH TEXAS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JOHNSTON (CREDENTIALING)
(512) 447-6685
Entity
Organization
Contact information
Practice address
618 N HIGHWAY 67, CEDAR HILL, TX 75104-2139
(972) 291-0297
Mailing address
618 N HIGHWAY 67, CEDAR HILL, TX 75104-2139
(972) 291-0297
(972) 291-8260
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
08/17/2006
Last updated
08/11/2020
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