Organization
HERITAGE ORAL AND FACIAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DYLAN BOWLES DDS (MANAGER)
(910) 922-9644
Entity
Organization
Contact information
Practice address
1237 COUNTY ROAD 197, JONESBORO, TX 76538-1207
(254) 300-8804
(254) 350-2868
Mailing address
1237 COUNTY ROAD 197, JONESBORO, TX 76538-1207
(254) 300-8804
(254) 350-2868
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21840
TX
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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