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Organization
TEXAS ORAL MAXILLOFACIAL SURGERY ASSOCIATES, PLLC
Active
Organization
TEXAS ORAL MAXILLOFACIAL SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM RAY SCOTT D.D.S. (PRESIDENT)
(512) 371-1222
Entity
Organization
Contact information
Practice address
5656 BEE CAVE RD, SUITE C102, WEST LAKE HILLS, TX 78746-5280
(512) 327-9933
(512) 327-9944
Mailing address
7517 CAMERON RD, SUITE 107, AUSTIN, TX 78752-2057
(512) 371-1222
(512) 371-3914
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15192
TX
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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