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Organization

METROPLEX ORA L AND FACIAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES R LUCENTE DDS, MD (DOCTOR/OWNER)
(972) 698-8500
Entity
Organization

Contact information

Practice address
2762 N GALLOWAY AVE, #100, MESQUITE, TX 75150
(972) 698-8500
(972) 698-8505
Mailing address
2762 N GALLOWAY AVE, #100, MESQUITE, TX 75150
(972) 698-8500
(972) 698-8505

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
I9710
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166622401
TX
Enumeration date
01/03/2008
Last updated
08/09/2013
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