Organization
ORAL AND FACIAL SURGERY INSTITUTE PA
Active
Other names
Oral and Facial Surgery Institute of Houston
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CASU (CREDENTIALING MANAGER)
(713) 790-6477
Entity
Organization
Contact information
Practice address
4724 SWEETWATER BLVD STE 105, SUGAR LAND, TX 77479
(281) 491-4545
(281) 491-7134
Mailing address
4724 SWEETWATER BLVD STE 105, SUGAR LAND, TX 77479-3150
(281) 491-4545
(281) 491-7134
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30729
TX
Other
Enumeration date
08/25/2014
Last updated
08/08/2018
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