Organization
CENTER FOR ORAL & RECONSTRUCTIVE SURGERY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMSEY MATTHEW FANOUS D.D.S (DOCTOR/OWNER)
(972) 359-8100
Entity
Organization
Contact information
Practice address
400 N ALLEN DR, 207, ALLEN, TX 75013-2555
(972) 359-8100
(971) 359-8107
Mailing address
400 N ALLEN DR, 207, ALLEN, TX 75013-2555
(972) 359-8100
(971) 359-8107
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16343
TX
Other
Enumeration date
08/20/2010
Last updated
04/09/2015
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