NPI | 1285817379 |
---|---|
Doing Business As | ORAL SURGERY CENTER OF TEXOMA |
Entity Type | Organization |
Authorized Contact | DIANA SVANE Administrator 903-868-1370 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TX 14253) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2021-06-25 |