FACIAL AND COSMETIC SURGERY OF FORT WORTH is an oral and maxillofacial surgery dentist in Fort Worth, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. FACIAL AND COSMETIC SURGERY OF FORT WORTH NPI is 1720690100. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4421 OAK PARK LN STE 101
FORT WORTH, TX
ZIP 76109-541
Phone: (817) 927-1818
Fax: (817) 927-2351
The provider's authorized official is Keith Andrew Sonneveld .
The authorized official title is Single Member/owner and has the following contact phone number (817) 927-1818.
The enumeration date for this NPI number is 8/18/2020 and was last updated on 8/18/2020.