IVAN MCKINNEY

TYLER, TX
NPI1720207673
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  10724)
Enumeration Date2007-04-25
Last Update Date2008-06-12
Business Address
-- IVAN MCKINNEY DDS
3802 BROOKSIDE DR
TYLER, TX 75701-9420
Phone number: 903-581-0581
Mailing Address
-- IVAN MCKINNEY DDS
3802 BROOKSIDE DR
TYLER, TX 75701-9420
Phone number: 903-581-0581
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