| Garland Oral Surgery & Dental Implant Center, P.a. | |
|
2910 Broadway Blvd Ste. 201 Garland TX 75041-3764 | |
| (972) 271-6528 | |
| (972) 271-6529 |
| Full Name | Garland Oral Surgery & Dental Implant Center, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2910 Broadway Blvd, Garland, Texas |
| Authorized Official Name and Position | William R Phillips (OWNER) |
| Authorized Official Contact | 2145285500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garland Oral Surgery & Dental Implant Center, P.a. 2910 Broadway Blvd Ste. 201 Garland TX 75041-3764 Ph: (972) 271-6528 | Garland Oral Surgery & Dental Implant Center, P.a. 2910 Broadway Blvd Ste. 201 Garland TX 75041-3764 Ph: (972) 271-6528 |
| NPI Number | 1356739528 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 12/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356739528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19017 (Texas) | Primary |
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