Oral and Facial Surgery Institute PA
NPI #1003216250 in Sugar Land, Texas
Provider Information
- NPI Number
- 1003216250
- Entity Type
- Organization
- Organization Name
- Oral and Facial Surgery Institute PA
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 25, 2014
- Last Updated
- Aug 8, 2018
Practice Location
- Address
- 4724 SWEETWATER BLVD STE 105
- City
- Sugar Land
- State
- Texas
- ZIP Code
- 77479
- Phone
- (281) 491-4545
Authorized Official
- Name
- GINA CASU
- Title
- CREDENTIALING MANAGER
- Phone
- (713) 790-6477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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