| NPI | 1437565934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN DURAINI Oral And Maxillofacial Surgeon 817-431-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-18 |