Center for Facial Oral & Implant Surgery PA

NPI #1700188372 in Longview, Texas

Provider Information

NPI Number
1700188372
Entity Type
Organization
Organization Name
Center for Facial Oral & Implant Surgery PA
Primary Specialty
Oral & Maxillofacial Surgery
Enumeration Date
Dec 2, 2010
Last Updated
May 18, 2011

Practice Location

Address
705 E MARSHALL AVE
Address 2
4003
State
Texas
ZIP Code
75601-5573
Phone
(903) 315-3810

Authorized Official

Name
GREGORY P HATZIS, DDS, MD
Title
OWNER
Phone
(903) 315-3813

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery

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