| Advanced Facial & Oral Surgery | |
|
1752 Broad Park Cir N #100 Mansfield TX 76063-7821 | |
| (817) 225-3223 | |
| (817) 225-0242 |
| Full Name | Advanced Facial & Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1752 Broad Park Cir N, Mansfield, Texas |
| Authorized Official Name and Position | Douglas P Sinn (OWNER OF BUSINESS) |
| Authorized Official Contact | 8172253223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Facial & Oral Surgery 1752 Broad Park Cir N #100 Mansfield TX 76063-7821 Ph: (817) 225-3223 | Advanced Facial & Oral Surgery 1752 Broad Park Cir N #100 Mansfield TX 76063-7821 Ph: (817) 225-3223 |
| NPI Number | 1437357894 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437357894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9255 (Texas) | Primary |
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