Organization
ORAL AND FACIAL SURGERY OF NORTH TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOHN MARTIN DDS (OWNER)
(972) 434-0050
Entity
Organization
Contact information
Practice address
591 W MAIN ST # 150, LEWISVILLE, TX 75057-3628
(972) 434-0050
(972) 434-0095
Mailing address
591 W MAIN ST # 150, LEWISVILLE, TX 75057-3628
(972) 434-0050
(972) 434-0095
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20753
TX
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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