Organization
TEXAS ORAL SURGERY GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI SHUTLER (OFFICE MANAGER)
(972) 596-9242
Entity
Organization
Contact information
Practice address
3713 W 15TH ST, SUITE 403, PLANO, TX 75075-7754
(972) 596-9242
(972) 612-0787
Mailing address
3713 W 15TH ST, SUITE 403, PLANO, TX 75075-7754
(972) 596-9242
(972) 612-0787
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11521
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11860
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16343
TX
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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