Organization
ORAL AND MAXILLOFACIAL SURGEONS OF NORTHEAST TEXAS, PLLC
Active
Organization
ORAL AND MAXILLOFACIAL SURGEONS OF NORTHEAST TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRBY LEON BUNEL JR. D.D.S. (PRESIDENT)
(903) 794-3331
Entity
Organization
Contact information
Practice address
1701 MOORES LN, TEXARKANA, TX 75503-1894
(903) 794-3331
(903) 793-7217
Mailing address
1701 MOORES LN, TEXARKANA, TX 75503-1894
(903) 794-3331
(903) 793-7217
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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