Organization
AMARILLO ORAL SURGERY, LLC
Active
Organization
AMARILLO ORAL SURGERY, LLC
Active
Other names
Amarillo Oral & Maxillofacial Surgery, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD GRAVES DMD (OWNER/DOCTOR)
(806) 353-1055
Entity
Organization
Contact information
Practice address
3501 S SONCY RD, SUITE 126, AMARILLO, TX 79119-6407
(806) 353-1055
Mailing address
5051 S. SONCY RD, AMARILLO, TX 79119
(806) 353-1055
(806) 353-7077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23648
TX
Other
Enumeration date
04/08/2008
Last updated
03/03/2016
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