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Organization
FACIAL AND ORAL SURGERY ASSOCIATES, PLLC
Active
Organization
FACIAL AND ORAL SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P. STELLA DDS (PRESIDENT)
(817) 927-1325
Entity
Organization
Contact information
Practice address
1625 SAINT LOUIS AVE, FORT WORTH, TX 76104-7635
(817) 927-1325
(817) 927-1497
Mailing address
1625 SAINT LOUIS AVE, FORT WORTH, TX 76104-7635
(817) 927-1325
(817) 927-1497
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
NULL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
01/15/2014
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