Organization
ADVANCED FACIAL PLASTIC SURGERY CENTER
Active
Other names
Advanced
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN AMOS BASSICHIS M.D., F.A.C.S. (OWNER)
(972) 774-1777
Entity
Organization
Contact information
Practice address
14755 PRESTON RD, SUITE 110, DALLAS, TX 75254-6815
(972) 774-1777
(972) 774-0066
Mailing address
14755 PRESTON ROAD, SUITE 110, DALLAS, TX 75254
(972) 774-1777
(972) 774-0066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K2643
TX
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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