Organization
ORAL & MAXILLOFACIAL SURGERY AFFILIATES, P.C.
Active
Organization
ORAL & MAXILLOFACIAL SURGERY AFFILIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY J PRITCHARD DDS (DOCTOR/OWNER)
(254) 751-1171
Entity
Organization
Contact information
Practice address
7030 SANGER AVE, SUITE 100, WACO, TX 76712
(254) 751-1171
(254) 751-0884
Mailing address
7030 SANGER AVE, SUITE 100, WACO, TX 76712
(254) 751-1171
(254) 751-0884
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
10880
TX
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
T15373
TX
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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