NPI | 1114059946 |
---|---|
Doing Business As | CENTRAL TEXAS ORAL & FACIAL SURGERY, P.C. |
Entity Type | Organization |
Authorized Contact | SUSIE NORRIS Office Manager 254-776-1575 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TX 14912) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-08-22 |