Richardson Oral Surgery and Implant Center Pllc

NPI #1013392463 in Richardson, Texas

Provider Information

NPI Number
1013392463
Entity Type
Organization
Organization Name
Richardson Oral Surgery and Implant Center Pllc
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jul 28, 2015
Last Updated
Jul 28, 2015

Practice Location

Address
1070 W CAMPBELL RD
Address 2
SUITE 200
State
Texas
ZIP Code
75080-2941
Phone
(972) 231-6661

Authorized Official

Name
CAMPBELL BOURLAND, DDS, MS
Title
DOCTOR/OWNER
Phone
(972) 231-6661

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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