Organization
ORAL SURGERY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT REX EATMON DDS (PRESIDENT)
(972) 243-5035
Entity
Organization
Contact information
Practice address
10 MEDICAL PKWY, SUITE 101, DALLAS, TX 75234
(972) 243-5035
(972) 243-8574
Mailing address
10 MEDICAL PKWY, SUITE 101, DALLAS, TX 75234
(972) 243-5035
(972) 243-8574
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
08875
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
190
CO
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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