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Organization
JLS DENTAL PLLC
Active
Organization
JLS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS YOUNGBLOOD (OWNER)
(432) 553-3886
Entity
Organization
Contact information
Practice address
128 NACOGDOCHES ST, CENTER, TX 75935-3852
(936) 427-9070
Mailing address
128 NACOGDOCHES ST, CENTER, TX 75935-3852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21026
TX
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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