# PLATINUM FACIAL SURGICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodlands Oral and Facial Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821496423
- **Authorized official:** DR. J. ENRIQUE TABARINI DDS,MS (OWNER/ ORAL SURGEON)
- **Authorized official phone:** (281) 419-3223

## Contact information

- **Practice address:** 10857 KUYKENDAHL RD STE 150, THE WOODLANDS, TX 77382-2777
- **Practice address phone:** (281) 419-3223
- **Practice address fax:** (713) 436-0892
- **Mailing address:** 10857 KUYKENDAHL RD STE 150, THE WOODLANDS, TX 77382-2777
- **Mailing address phone:** (281) 419-3223
- **Mailing address fax:** (713) 436-0892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 23794 | TX | Yes |

## Other

- **Enumeration date:** 12/12/2014
- **Last updated:** 12/12/2014