| NPI | 1053552208 |
|---|---|
| Doing Business As | DALLAS ORAL SURGERY WILLOWBEND |
| Entity Type | Organization |
| Authorized Contact | STEVEN D SHERRY Sole Member/Owner 214-392-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 22076) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |