Organization
KATY CENTER FOR ORAL AND FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA IMPASTATO (PRACTICE ADMINISTRATOR)
(281) 392-1130
Entity
Organization
Contact information
Practice address
23922 CINCO VILLAGE CENTER BLVD, SUITE 111, KATY, TX 77494-6619
(281) 392-1130
Mailing address
23922 CINCO VILLAGE CENTER BLVD, SUITE 111, KATY, TX 77494-6619
(281) 392-1130
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
03/31/2025
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