| Jls Dental Pllc | |
|
128 Nacogdoches St Center TX 75935-3852 | |
| (936) 427-9070 | |
| Not Available |
| Full Name | Jls Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 128 Nacogdoches St, Center, Texas |
| Authorized Official Name and Position | Thomas Youngblood (OWNER) |
| Authorized Official Contact | 4325533886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jls Dental Pllc 128 Nacogdoches St Center TX 75935-3852 Ph: () - | Jls Dental Pllc 128 Nacogdoches St Center TX 75935-3852 Ph: (936) 427-9070 |
| NPI Number | 1871951541 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 02/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871951541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21026 (Texas) | Primary |
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