| Javiramel Dental Pllc | |
|
5201 S Broadway Ave Ste 240 Tyler TX 75703-3768 | |
| (323) 282-8318 | |
| Not Available |
| Full Name | Javiramel Dental Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/05/2020 |
| Last Update Date | 01/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528607702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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