Center for Oral & Reconstructive Surgery P a

NPI #1902112519 in Allen, Texas

Provider Information

NPI Number
1902112519
Entity Type
Organization
Organization Name
Center for Oral & Reconstructive Surgery P a
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Aug 20, 2010
Last Updated
Apr 9, 2015

Practice Location

Address
400 N ALLEN DR
Address 2
207
City
Allen
State
Texas
ZIP Code
75013-2555
Phone
(972) 359-8100

Authorized Official

Name
DR. RAMSEY MATTHEW FANOUS, D.D.S
Title
DOCTOR/OWNER
Phone
(972) 359-8100

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Provider Name
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