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Organization
ORAL AND FACIAL SURGERY OF NORTH TEXAS
Active
Organization
ORAL AND FACIAL SURGERY OF NORTH TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOHN MARTIN DDS (OWNER)
(972) 434-0050
Entity
Organization
Contact information
Practice address
591 W MAIN ST # 150, LEWISVILLE, TX 75057-3628
(972) 434-0050
(972) 434-0095
Mailing address
591 W MAIN ST # 150, LEWISVILLE, TX 75057-3628
(972) 434-0050
(972) 434-0095
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20753
TX
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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