Organization
FACIAL AND COSMETIC SURGERY OF FORT WORTH
Active
Organization
FACIAL AND COSMETIC SURGERY OF FORT WORTH
Active
Other names
Sonneveld Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ANDREW SONNEVELD DDS (SINGLE MEMBER/OWNER)
(817) 927-1818
Entity
Organization
Contact information
Practice address
5825 EDWARDS RANCH RD STE 200, FORT WORTH, TX 76109-4142
(817) 927-1818
(817) 927-2351
Mailing address
5825 EDWARDS RANCH RD STE 200, FORT WORTH, TX 76109-4142
(817) 927-1818
(817) 927-2351
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/29/2025
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