Organization
RICHARDSON ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRO A. PAVELKA JR. D.D.S. (OWNER/PRESIDENT)
(972) 231-6661
Entity
Organization
Contact information
Practice address
400 S COTTONWOOD DR, SUITE B, RICHARDSON, TX 75080-5708
(972) 231-6661
(972) 231-3161
Mailing address
400 S COTTONWOOD DR, SUITE B, RICHARDSON, TX 75080-5708
(972) 231-6661
(972) 231-3161
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11521
TX
Other
Enumeration date
07/31/2006
Last updated
09/15/2008
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