Organization
NORTH DALLAS ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSHIN REZVANI DDS, MD (OWNER)
(214) 383-3883
Entity
Organization
Contact information
Practice address
915 W EXCHANGE PKWY, SUITE 210, ALLEN, TX 75013-7017
(214) 383-3883
(214) 383-9043
Mailing address
915 W EXCHANGE PKWY, SUITE 210, ALLEN, TX 75013-7017
(214) 383-3883
(214) 383-9043
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22161
TX
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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