Organization
HIGHLAND PARK ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KOSTOHRYZ JR. DDS, MD (OWNER)
(817) 731-2789
Entity
Organization
Contact information
Practice address
3001 KNOX ST STE 301, DALLAS, TX 75205-5593
(817) 717-3071
Mailing address
550 RESERVE ST STE 330, SOUTHLAKE, TX 76092-1599
(817) 226-6790
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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