Organization
PARK FOREST ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
PARK FOREST ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROON NONE ISMAILI DDS (OWNER)
(817) 466-8080
Entity
Organization
Contact information
Practice address
2304 W INTERSTATE 20, 150, ARLINGTON, TX 75254-1674
(817) 466-8080
(817) 466-8082
Mailing address
2304 W INTERSTATE 20, 150, ARLINGTON, TX 75254-1674
(817) 466-8080
(817) 466-8082
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24439
TX
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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