| NPI | 1568625721 |
|---|---|
| Doing Business As | LEGACY ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JASON NICHOLAS STAMBOULIEH President 214-385-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 21740) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-23 |