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Organization
PINE CREEK DENTAL, PLLC
Active
Organization
PINE CREEK DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER TUTT DDS (DENTIST)
(903) 561-2232
Entity
Organization
Contact information
Practice address
7925 S BROADWAY AVE STE 300, TYLER, TX 75703-5227
(903) 561-2232
Mailing address
7925 S BROADWAY AVE STE 300, TYLER, TX 75703-5227
(903) 561-2232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
01/06/2016
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