Provider First Line Business Practice Location Address:
UT SCHOOL OF DENTISTRY DEPARTMENT OF ORAL AND
Provider Second Line Business Practice Location Address:
MAXILLOFACIAL SURGERY 7500 CAMBRIDGE ST. SUITE 6510
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-486-4310
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2024