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5011 Troup Hwy Suite 700 Tyler TX 75707-2562 | |
| (903) 581-5500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5011 Troup Hwy, Tyler, Texas |
| Authorized Official Name and Position | Christopher Michael Williams (DENTIST) |
| Authorized Official Contact | 9409236739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8709 Southwestern Blvd Apt. 1634 Dallas TX 75206-8274 Ph: (940) 923-6739 | 5011 Troup Hwy Suite 700 Tyler TX 75707-2562 Ph: (903) 581-5500 |
| NPI Number | 1801293253 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 12/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801293253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28031 (Texas) | Primary |
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