Javiramel Dental Pllc | |
5201 S Broadway Ave Ste 240 Tyler TX 75703-3768 | |
(323) 282-8318 | |
Not Available |
Full Name | Javiramel Dental Pllc |
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Speciality | Clinic/center - Dental |
Location | 5201 S Broadway Ave Ste 240, Tyler, Texas |
Authorized Official Name and Position | Javier Perez (MANAGER/GENERAL DENTIST) |
Authorized Official Contact | 3232828318 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Javiramel Dental Pllc 5201 S Broadway Ave Ste 240 Tyler TX 75703-3768 Ph: (323) 282-8318 | Javiramel Dental Pllc 5201 S Broadway Ave Ste 240 Tyler TX 75703-3768 Ph: (323) 282-8318 |
NPI Number | 1528607702 |
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Provider Enumeration Date | 01/05/2020 |
Last Update Date | 01/05/2020 |
Identifier | Type | State | Issuer |
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1528607702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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