| Dfw Oral And Maxillofacial Surgery Ennis, Llc | |
|
2200 W Ennis Ave Ste. B Ennis TX 75119-8054 | |
| (972) 875-7616 | |
| (972) 875-7618 |
| Full Name | Dfw Oral And Maxillofacial Surgery Ennis, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2200 W Ennis Ave, Ennis, Texas |
| Authorized Official Name and Position | Pedro F Franco (PRESIDENT) |
| Authorized Official Contact | 9725947414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Oral And Maxillofacial Surgery Ennis, Llc 2727 N. O'connor Irving TX 75062 Ph: (972) 594-7414 | Dfw Oral And Maxillofacial Surgery Ennis, Llc 2200 W Ennis Ave Ste. B Ennis TX 75119-8054 Ph: (972) 875-7616 |
| NPI Number | 1518389212 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 01/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518389212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20816 (Tennessee) | Primary |
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