Richardson Oral & Maxillofacial Surgery Associates, Inc.

NPI #1760497291 in Richardson, Texas

Provider Information

NPI Number
1760497291
Entity Type
Organization
Organization Name
Richardson Oral & Maxillofacial Surgery Associates, Inc.
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jul 31, 2006
Last Updated
Sep 15, 2008

Practice Location

Address
400 S COTTONWOOD DR
Address 2
SUITE B
State
Texas
ZIP Code
75080-5708
Phone
(972) 231-6661

Authorized Official

Name
MIRO A. PAVELKA JR., D.D.S.
Title
OWNER/PRESIDENT
Phone
(972) 231-6661

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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