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Organization
RICE ROAD DENTAL ASSOCIATES, P.A.
Active
Organization
RICE ROAD DENTAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELEAHA T. MORTON (OFFICE MANAGER)
(903) 561-3411
Entity
Organization
Contact information
Practice address
5613 S DONNYBROOK AVE, TYLER, TX 75703
(903) 561-3411
(903) 581-7014
Mailing address
5613 S DONNYBROOK AVE, TYLER, TX 75703
(903) 561-3411
(903) 581-7014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8662
TX
Other
Enumeration date
01/08/2014
Last updated
12/16/2019
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