Organization
DFW ORAL SURGEONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHAW (OFFICE MANAGER)
(972) 539-1491
Entity
Organization
Contact information
Practice address
3700 FORUMS DR, SUITE 203, FLOWER MOUND, TX 75028-1860
(972) 539-1491
(972) 539-3489
Mailing address
3700 FORUMS DR, SUITE 203, FLOWER MOUND, TX 75028-1860
(972) 539-1491
(972) 539-3489
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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