Organization
TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOM SCOTT DDS (PRESIDENT)
(512) 371-1222
Entity
Organization
Contact information
Practice address
4400-1 E CENTRAL TEXAS EXPY, KILLEEN, TX 76543-7313
(225) 469-9355
(254) 699-3894
Mailing address
7517 CAMERON RD, SUITE 107, AUSTIN, TX 78752-2057
(512) 371-1222
(512) 371-3914
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22583
TX
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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