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Organization

DR STAMBOULIEH ORAL AND MAXILLOFACIAL SURGERY PC

Active
Other names
Legacy Oral and Maxillofacial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON NICHOLAS STAMBOULIEH DDS (PRESIDENT)
(214) 385-1476
Entity
Organization

Contact information

Practice address
2500 LEGACY DR, SUITE 230, FRISCO, TX 75034-5983
(214) 387-4900
Mailing address
PO BOX 6200, FRISCO, TX 75035-0228
(214) 385-1476

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21740
TX

Other

Enumeration date
07/08/2008
Last updated
07/23/2008
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