Richardson Oral & Maxillofacial Surgery | |
1070 W Campbell Rd Ste 200 Richardson TX 75080-2987 | |
(972) 231-6661 | |
(972) 231-6661 |
Full Name | Richardson Oral & Maxillofacial Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1070 W Campbell Rd Ste 200, Richardson, Texas |
Authorized Official Name and Position | Samuel Robinson (OWNER) |
Authorized Official Contact | 9722316661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richardson Oral & Maxillofacial Surgery 9029 Maguires Bridge Dr Dallas TX 75231-4016 Ph: (281) 923-2641 | Richardson Oral & Maxillofacial Surgery 1070 W Campbell Rd Ste 200 Richardson TX 75080-2987 Ph: (972) 231-6661 |
NPI Number | 1891206066 |
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Provider Enumeration Date | 10/16/2017 |
Last Update Date | 10/16/2017 |
Identifier | Type | State | Issuer |
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1891206066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 26552 (Texas) | Primary |
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