EAST TEXAS DENTAL GROUP, LLC

TYLER, TX
NPI1750743167
Entity TypeOrganization
Authorized ContactYOUNG T SHIM
Owner
903-509-0505
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  31033)
Enumeration Date2016-03-24
Last Update Date2016-03-24
Business Address
EAST TEXAS DENTAL GROUP, LLC
212 OLD GRANDE BLVD B224
TYLER, TX 75703-4226
Phone number: 903-509-0505
Mailing Address
EAST TEXAS DENTAL GROUP, LLC
212 OLD GRANDE BLVD SUITE B224
TYLER, TX 75703-4226
Phone number: 903-509-0505
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