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1477101053
COLLEGE STATION ORAL SURGERY, PLLC
COLLEGE STATION, TX
NPI
1477101053
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Entity Type
Organization
Authorized Contact
JACKIE CARRANZA
General Manager
979-316-5000
Organization Subpart ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
COLLEGE STATION ORAL SURGERY, PLLC
1645 GREENS PRAIRIE RD W STE 202
COLLEGE STATION, TX 77845-8414
Phone number: 979-316-5000
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Mailing Address
COLLEGE STATION ORAL SURGERY, PLLC
24437 KATY FWY STE 500
KATY, TX 77494-1469
Phone number: 281-394-9340
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