Organization
CHISHOLM TRAIL ORAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG HARRISON (OWNER / PROVIDER)
(817) 484-4778
Entity
Organization
Contact information
Practice address
7040 HARRIS PKWY STE 140, FORT WORTH, TX 76132-4218
(903) 530-7382
Mailing address
4137 TRAILS END DR APT 2018, FORT WORTH, TX 76116-0785
(903) 530-7382
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
10/29/2024
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