| Robert Brock Dds Pllc | |
|
202 Shelley Dr Tyler TX 75701-8725 | |
| (903) 561-8600 | |
| Not Available |
| Full Name | Robert Brock Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 202 Shelley Dr, Tyler, Texas |
| Authorized Official Name and Position | Robert Lansden Brock (OWNER) |
| Authorized Official Contact | 9035307894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Brock Dds Pllc 202 Shelley Dr Tyler TX 75701-8725 Ph: (903) 561-8600 | Robert Brock Dds Pllc 202 Shelley Dr Tyler TX 75701-8725 Ph: (903) 561-8600 |
| NPI Number | 1447023718 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447023718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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