| Dallas Oral And Maxillofacial Surgery | |
|
6140 Sherry Lane Dallas TX 75225 | |
| (214) 363-6415 | |
| Not Available |
| Full Name | Dallas Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6140 Sherry Lane, Dallas, Texas |
| Authorized Official Name and Position | David M Banta (OWNER/DR) |
| Authorized Official Contact | 2143636415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Oral And Maxillofacial Surgery 6140 Sherry Ln Dallas TX 75225-6301 Ph: () - | Dallas Oral And Maxillofacial Surgery 6140 Sherry Lane Dallas TX 75225 Ph: (214) 363-6415 |
| NPI Number | 1417267451 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417267451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13059 (Texas) | Primary |
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