TY BRANDON BLACK

TYLER, TX
NPI1851448385
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  20648)
Enumeration Date2007-01-05
Last Update Date2007-07-08
Business Address
Dr. TY BRANDON BLACK DDS
5201 S BROADWAY AVE ST 240
TYLER, TX 75703-3748
Phone number: 903-534-8110
Mailing Address
Dr. TY BRANDON BLACK DDS
5201 S BROADWAY AVE ST 240
TYLER, TX 75703-3748
Phone number: 903-534-8110
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