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Organization

GULF COAST ORAL & MAXILLOFACIAL SURGERY

Active
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Organization

GULF COAST ORAL & MAXILLOFACIAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES KEENER SCRUGGS DDS, (DOCTOR)
(409) 948-9444
Entity
Organization

Contact information

Practice address
2501 PALMER HWY STE 105, TEXAS CITY, TX 77590-7000
(409) 948-9444
(409) 948-9407
Mailing address
2501 PALMER HWY STE 105, TEXAS CITY, TX 77590-7000
(409) 948-9444
(409) 948-9407

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13026
TX

Other

Enumeration date
12/15/2009
Last updated
12/15/2009
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