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Organization
TITAN DENTAL 1 PLLC
Active
Organization
TITAN DENTAL 1 PLLC
Active
Other names
Titan Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HERNANDEZ (REGIONAL MANAGER)
(469) 803-0014
Entity
Organization
Contact information
Practice address
1011 W GRANDE BLVD STE 300, TYLER, TX 75703-6138
(903) 944-5284
Mailing address
1011 W GRANDE BLVD STE 300, TYLER, TX 75703-6138
(903) 944-5284
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
09/16/2024
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