Organization
SOUTH FIRST DENTAL ,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON OSAKWE (OWNER)
(972) 926-5700
Entity
Organization
Contact information
Practice address
3109 SOUTH FIRST STREET, GARLAND, TX 75041
(972) 926-5700
Mailing address
3109 SOUTH FIRST STREET, GARLAND, TX 75041
(972) 926-5700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20474
TX
Other
Enumeration date
02/07/2007
Last updated
03/03/2008
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