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1700188372
CENTER FOR FACIAL ORAL & IMPLANT SURGERY PA
LONGVIEW, TX
NPI
1700188372
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Entity Type
Organization
Authorized Contact
GREGORY P HATZIS
Owner
903-315-3813
Organization Subpart ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2010-12-02
Last Update Date
2011-05-18
Business Address
CENTER FOR FACIAL ORAL & IMPLANT SURGERY PA
705 E MARSHALL AVE 4003
LONGVIEW, TX 75601-5573
Phone number: 903-315-3810
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Mailing Address
CENTER FOR FACIAL ORAL & IMPLANT SURGERY PA
705 E MARSHALL AVE 4003
LONGVIEW, TX 75601
Phone number: 903-315-3810
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