TY BLACK DDS

TYLER, TX
NPI1437383015
Entity TypeOrganization
Authorized ContactDANA BLACK
Off Mgr
903-534-8110
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  20648)
Enumeration Date2009-05-11
Last Update Date2009-05-11
Business Address
TY BLACK DDS
5201 S BROADWAY AVE ST 240
TYLER, TX 75703
Phone number: 903-534-8110
Mailing Address
TY BLACK DDS
5201 S BROADWAY AVE ST 240
TYLER, TX 75703-3748
Phone number: 903-534-8110
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