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Culberson R Boren Dds Pa
Pediatric Dentist in Longview, Texas
NPI 1215290697

Culberson R Boren Dds Pa is a Pediatric Dentist based in Tyler, TX and is specialized in Pediatric Dentistry. Culberson R Boren Dds Pa practices in Longview, TX. The NPI Number for Culberson R Boren Dds Pa is 1215290697 and holds a License No. 13063 (Texas).

The current practice location address for Culberson R Boren Dds Pa is 705 E Marshall Ave, Longview, TX and can be reached out via phone at 903-581-2198 and via fax at 903-581-9571.

Location: 705 E Marshall Ave, Longview, TX, 75703-5274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215290697
Provider Name
Culberson R Boren Dds Pa
Credential
Provider Entity Type
Organization
Address
705 E Marshall Ave, Longview, TX, 75703-5274
Phone Number
903-581-2198
Fax Number
903-581-9571
Provider Enumeration Date
06/20/2012
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
705 E Marshall Ave
City
Longview
State
Texas
Zip
75601-5573
Phone Number
903-581-2198
Fax Number
903-581-9571
person
Provider Business Mailing Address Details
Address
705 E Marshall Ave
City
Longview
State
Texas
Zip
75601-5573
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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