is a Oral And Maxillofacial Surgery in Irving, Texas. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for is 1588615108. The last update date is .
's current location address is 440 W Interstate Hwy 635, Irving, Texas. You can contact this provider via phone number 9724018301 and fax number 9724448265. The mailing address for is 440 W Interstate Hwy 635, Irving, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 440 W Interstate Hwy 635, Irving, Texas |
| Phone Number | 9724018301 |
| Fax Number | 9724448265 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588615108 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 440 W Interstate Hwy 635 |
|---|---|
| City | Irving |
| State | Texas (TX) |
| Post Code | 750633811 |
| Phone Number | 9724018301 |
| Fax Number | 9724448265 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | L1208 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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