# NORTH DALLAS ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922333814
- **Authorized official:** DR. AFSHIN REZVANI DDS, MD (OWNER)
- **Authorized official phone:** (214) 383-3883

## Contact information

- **Practice address:** 915 W EXCHANGE PKWY, SUITE 210, ALLEN, TX 75013-7017
- **Practice address phone:** (214) 383-3883
- **Practice address fax:** (214) 383-9043
- **Mailing address:** 915 W EXCHANGE PKWY, SUITE 210, ALLEN, TX 75013-7017
- **Mailing address phone:** (214) 383-3883
- **Mailing address fax:** (214) 383-9043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22161 | TX | Yes |

## Other

- **Enumeration date:** 10/09/2009
- **Last updated:** 10/09/2009