Boozer Dental Works | |
5540 Old Jacksonville Hwy Tyler TX 75703-3378 | |
(903) 597-2121 | |
(903) 581-7776 |
Full Name | Boozer Dental Works |
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Speciality | Dentist - Pediatric Dentistry |
Location | 5540 Old Jacksonville Hwy, Tyler, Texas |
Authorized Official Name and Position | Kent B Boozer (DENTIST/OWNER) |
Authorized Official Contact | 9035972121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Boozer Dental Works 5540 Old Jacksonville Hwy Tyler TX 75703-3378 Ph: (903) 597-2121 | Boozer Dental Works 5540 Old Jacksonville Hwy Tyler TX 75703-3378 Ph: (903) 597-2121 |
NPI Number | 1508046129 |
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Provider Enumeration Date | 11/12/2007 |
Last Update Date | 11/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508046129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 20107 (Texas) | Primary |
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