| Dallas Oral Surgery Willowbend | |
|
5824 W Plano Pkwy Ste 101 Plano TX 75093-4630 | |
| (972) 267-3223 | |
| (972) 733-0567 |
| Full Name | Dallas Oral Surgery Willowbend |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5824 W Plano Pkwy, Plano, Texas |
| Authorized Official Name and Position | Steven D Sherry (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 2143928115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Oral Surgery Willowbend 5824 W Plano Pkwy Ste 101 Plano TX 75093-4630 Ph: (972) 267-3223 | Dallas Oral Surgery Willowbend 5824 W Plano Pkwy Ste 101 Plano TX 75093-4630 Ph: (972) 267-3223 |
| NPI Number | 1053552208 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 03/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053552208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22076 (Texas) | Primary |
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