| Las Colinas Oral & Facial Surgery | |
|
7437 Las Colinas Blvd #100 Irving TX 75063 | |
| (972) 401-1100 | |
| Not Available |
| Full Name | Las Colinas Oral & Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7437 Las Colinas Blvd, Irving, Texas |
| Authorized Official Name and Position | Kelly Payne (OFFICE MANAGER) |
| Authorized Official Contact | 9724011100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Colinas Oral & Facial Surgery 7437 Las Colinas Blvd. Irving TX 75063 Ph: (972) 401-1100 | Las Colinas Oral & Facial Surgery 7437 Las Colinas Blvd #100 Irving TX 75063 Ph: (972) 401-1100 |
| NPI Number | 1215161484 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215161484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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