| NPI | 1093925224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON H ORNSTEIN Owner 972-243-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TX 19701) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 19701) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 8875) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: TX 8875) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-05-08 |