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Culberson R. Boren, D.d.s., P.a.
Pediatric Dentist in Tyler, Texas
NPI 1033411962

Culberson R. Boren, D.d.s., P.a. is a Pediatric Dentist based in Tyler, TX and is specialized in Pediatric Dentistry. Culberson R. Boren, D.d.s., P.a. practices in Tyler, TX. The NPI Number for Culberson R. Boren, D.d.s., P.a. is 1033411962 and holds a License No. 13063 (Texas).

The current practice location address for Culberson R. Boren, D.d.s., P.a. is 7916 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-581-2198 and via fax at 903-581-9571.

Location: 7916 S Broadway Ave, Tyler, TX, 75703-5274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033411962
Provider Name
Culberson R. Boren, D.d.s., P.a.
Credential
Provider Entity Type
Organization
Address
7916 S Broadway Ave, Tyler, TX, 75703-5274
Phone Number
903-581-2198
Fax Number
903-581-9571
Provider Enumeration Date
11/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008045901 05 TX
institution
Provider Business Practice Location Address Details
Address
7916 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-5274
Phone Number
903-581-2198
Fax Number
903-581-9571
person
Provider Business Mailing Address Details
Address
7916 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-5274
Phone Number
903-581-2198
Fax Number
903-581-9571
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
13063 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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