Organization
CAMPBELL BOURLAND DDS, PLLC
Active
Organization
CAMPBELL BOURLAND DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CAMPBELL BOURLAND DDS, MS (OWNER)
(214) 564-5597
Entity
Organization
Contact information
Practice address
1151 N BUCKNER BLVD, STE 406, DALLAS, TX 75218-3426
(214) 328-6354
Mailing address
1151 N BUCKNER BLVD, STE 406, DALLAS, TX 75218-3426
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22690
TX
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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