| Rose Dental Care Of Tyler | |
|
5111 Troup Hwy 100 Tyler TX 75707-1919 | |
| (903) 787-3625 | |
| Not Available |
| Full Name | Rose Dental Care Of Tyler |
|---|---|
| Speciality | Dentist |
| Location | 5111 Troup Hwy, Tyler, Texas |
| Authorized Official Name and Position | Latasha Nash (OWNER/PROVIDER) |
| Authorized Official Contact | 9037873625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Dental Care Of Tyler 5111 Troup Hwy 100 Tyler TX 75707-1919 Ph: (903) 787-3625 | Rose Dental Care Of Tyler 5111 Troup Hwy 100 Tyler TX 75707-1919 Ph: (903) 787-3625 |
| NPI Number | 1538555370 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538555370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27603 (Texas) | Primary |
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