Organization
BEDFORD ASSOC IN ORAL&MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P MCPHILLIPS DDS, MD (PRESIDENT)
(817) 283-5581
Entity
Organization
Contact information
Practice address
2121 CENTRAL DR STE 1, BEDFORD, TX 76021-5885
(817) 283-5581
(817) 283-8650
Mailing address
2121 CENTRAL DR STE 1, BEDFORD, TX 76021-5885
(817) 283-5581
(817) 283-8650
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24440
TX
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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