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Organization
HIGHLAND PARK ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Organization
HIGHLAND PARK ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOSTOHRYZ JR. DDS, MD (OWNER)
(817) 731-2789
Entity
Organization
Contact information
Practice address
3001 KNOX ST STE 301, DALLAS, TX 75205-5593
(817) 717-3071
Mailing address
550 RESERVE ST STE 330, SOUTHLAKE, TX 76092-1599
(817) 226-6790
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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