Organization
PALESTINE ORAL FACIAL SURGERY GROUP PLLC
Active
Other names
Southern Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G STONE JR. DDS (OWNER)
(903) 520-6448
Entity
Organization
Contact information
Practice address
1721 S SYCAMORE ST, PALESTINE, TX 75801-6921
(903) 723-5111
(903) 723-0328
Mailing address
1721 S SYCAMORE ST, PALESTINE, TX 75801-6921
(903) 723-5111
(903) 723-0328
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20511
TX
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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