Organization
RICHARDSON ORAL SURGERY AND IMPLANT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMPBELL BOURLAND DDS, MS (DOCTOR/OWNER)
(972) 231-6661
Entity
Organization
Contact information
Practice address
1070 W CAMPBELL RD, SUITE 200, RICHARDSON, TX 75080-2941
(972) 231-6661
(972) 231-3161
Mailing address
1070 W CAMPBELL RD, SUITE 200, RICHARDSON, TX 75080-2941
(972) 231-6661
(972) 231-3161
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22690
TX
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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