# TYLER DENTURE PROS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154197085
- **Authorized official:** DR. SARAH KHRYSTINE PRINE DMD (OWNER)
- **Authorized official phone:** (251) 591-8670

## Contact information

- **Practice address:** 921 SHILOH RD STE C100, TYLER, TX 75703-1405
- **Practice address phone:** (903) 258-6099
- **Mailing address:** 921 SHILOH RD STE C100, TYLER, TX 75703-1405
- **Mailing address phone:** (903) 258-6099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2023
- **Last updated:** 12/01/2023