| NPI | 1578973483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN DURAINI Oral And Maxillofacial Surgeon 469-831-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |