Organization
ORAL & MAXILLOFACIAL ARTS OF PLANO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASHANT M REDDY DDS (PRESIDENT)
(972) 596-7474
Entity
Organization
Contact information
Practice address
4020 W PARK BLVD, PLANO, TX 75093-3839
(972) 596-7474
Mailing address
4020 W PARK BLVD, PLANO, TX 75093-3839
(972) 596-7474
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23534
TX
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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