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6820 Oak Hill Blvd Tyler TX 75703-0539 | |
| (903) 597-6372 | |
| (903) 592-8482 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6820 Oak Hill Blvd, Tyler, Texas |
| Authorized Official Name and Position | David A. Wilkinson (PRESIDENT/OWNER) |
| Authorized Official Contact | 9035976372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6820 Oak Hill Blvd Tyler TX 75703-0539 Ph: (903) 597-6372 | 6820 Oak Hill Blvd Tyler TX 75703-0539 Ph: (903) 597-6372 |
| NPI Number | 1720453277 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720453277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27915 (Texas) | Primary |
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