| NPI | 1194931303 |
|---|---|
| Doing Business As | BRAZOS VALLEY ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JAMES BRYAN GARRETT Owner/Surgeon 979-764-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 10404) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TX 10460) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 10404) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-01-02 |