Platinum Facial Surgical Group
Dentist, Oral and Maxillofacial Surgery in The Woodlands, TX. Organization (NPI-2).
NPI number1821496423
StatusActive
Last updated in NPPESDec 12, 2014
Details
- NPI
- 1821496423
- Entity type
- Organization (NPI-2)
- Legal business name
- Platinum Facial Surgical Group
- Organization subpart
- No
- Enumeration date
- Dec 12, 2014
- Last updated
- Dec 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 23794 | TX | Yes |
Other names
- Woodlands Oral And Facial Surgery Center (Doing Business As)
Practice location
10857 Kuykendahl Rd Ste 150The Woodlands, TX 77382-2777
Phone 281-419-3223 · Fax 713-436-0892
Mailing address
10857 Kuykendahl Rd Ste 150The Woodlands, TX 77382-2777
Phone 281-419-3223 · Fax 713-436-0892
Authorized official
J. Enrique Tabarini
Owner/ Oral Surgeon
2814193223
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