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Organization
ORAL SURGERY OF TEXAS PLLC
Active
Organization
ORAL SURGERY OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA PERKINS (ONBOARDING SPECIALIST)
(770) 692-1000
Entity
Organization
Contact information
Practice address
1015 W 34TH ST, AUSTIN, TX 78705-2008
(512) 206-2929
Mailing address
505 E HUNTLAND DR, AUSTIN, TX 78752-3717
(512) 276-4444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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