Organization
RECONSTRUCTIVE ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO M PEREZ DMD MSD (DOCTOR CO OWNER)
(956) 664-1695
Entity
Organization
Contact information
Practice address
2601 W TRENTON RD, EDINBURG, TX 78539-3432
(956) 664-1695
(956) 664-1798
Mailing address
2601 W TRENTON RD, EDINBURG, TX 78539-3432
(956) 664-1695
(956) 664-1798
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164024501
—
TX
05
—
164024502
—
TX
Enumeration date
10/21/2005
Last updated
08/21/2008
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