# JAVIRAMEL DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Times Square Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528607702
- **Authorized official:** JAVIER PEREZ DDS (MANAGER/GENERAL DENTIST)
- **Authorized official phone:** (323) 282-8318

## Contact information

- **Practice address:** 5201 S BROADWAY AVE STE 240, TYLER, TX 75703-3768
- **Practice address phone:** (323) 282-8318
- **Mailing address:** 5201 S BROADWAY AVE STE 240, TYLER, TX 75703-3768
- **Mailing address phone:** (323) 282-8318

## Taxonomy

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

## Other

- **Enumeration date:** 01/05/2020
- **Last updated:** 01/05/2020