Organization
SIMON DENTAL SERVICES PLLC
Active
Other names
Simon Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANTHONY SIMON DDS (DENTIST)
(409) 670-6703
Entity
Organization
Contact information
Practice address
7925 S BROADWAY AVE STE 1100, TYLER, TX 75703-5227
(903) 213-9799
Mailing address
2872 BARTON CREEK CIR, TYLER, TX 75703-7079
(409) 670-6703
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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