is a Oral And Maxillofacial Surgery in Lewisville, Texas. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for is 1962612598. The last update date is .
's current location address is 591 W Main St, Lewisville, Texas. You can contact this provider via phone number 9724340050 and fax number 9724340095. The mailing address for is 591 W Main St, Lewisville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 591 W Main St, Lewisville, Texas |
| Phone Number | 9724340050 |
| Fax Number | 9724340095 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1962612598 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 591 W Main St |
|---|---|
| City | Lewisville |
| State | Texas (TX) |
| Post Code | 750573628 |
| Phone Number | 9724340050 |
| Fax Number | 9724340095 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 20753 |
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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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