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General NPI Number Information
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NPI Number | 1336582444
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Entity Type | Organization
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Legal Business Name | DFW ORAL AND MAXILLOFACIAL SURGERY PC
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 2727 N OCONNOR RD
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City | IRVING
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State | TX
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Zip | 75062
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Country | US
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Telephone | 972-594-7414
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Fax | 972-594-1834
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Provider Business Mailing Address
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Address Line | 2727 N OCONNOR RD
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City | IRVING
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State | TX
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Zip | 75062
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Country | US
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Telephone | 972-594-7414
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Fax | 972-594-1834
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Authorized Official
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Title or Position | DOCTOR/ OWNER
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Name | DR. PEDRO FRANCO
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Credential | DDS
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Telephone | 972-594-7414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 20816
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License Number State | TX
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