Organization
AMAREN SURGICAL PLLC
Active
Other names
North Texas Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY QUIETT (CREDENTIALING SPECIALIST)
(918) 297-8951
Entity
Organization
Contact information
Practice address
2300 W FM 544 STE 240, WYLIE, TX 75098-4931
(469) 596-7722
(469) 596-7720
Mailing address
2300 W FM 544 STE 240, WYLIE, TX 75098-4931
(469) 596-7722
(469) 596-7720
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
05/14/2021
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