East Texas Oral & Maxillofacial Surgery Associates Inc.

NPI #1952459307 in Longview, Texas

Provider Information

NPI Number
1952459307
Entity Type
Organization
Organization Name
East Texas Oral & Maxillofacial Surgery Associates Inc.
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jan 8, 2007
Last Updated
Mar 20, 2012

Practice Location

Address
3004 H G MOSELEY PKWY
State
Texas
ZIP Code
75605-2948
Phone
(903) 758-3444

Authorized Official

Name
CHARLOTTE MARIE WILKS
Title
OFFICE MANAGER
Phone
(903) 758-3444

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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