Will J Parks Dds Md Pa | |
815 S Fleishel Ave Tyler TX 75701-2017 | |
(903) 526-7977 | |
(903) 526-7989 |
Full Name | Will J Parks Dds Md Pa |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 815 S Fleishel Ave, Tyler, Texas |
Authorized Official Name and Position | Will Parks (OWNER) |
Authorized Official Contact | 9035267977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Will J Parks Dds Md Pa 815 S Fleishel Ave Tyler TX 75701-2017 Ph: (903) 526-7977 | Will J Parks Dds Md Pa 815 S Fleishel Ave Tyler TX 75701-2017 Ph: (903) 526-7977 |
NPI Number | 1497054712 |
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Provider Enumeration Date | 03/25/2011 |
Last Update Date | 03/25/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497054712 | NPI | - | NPPES |
111311002 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 17107 (Texas) | Primary |
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