Organization
BOOZER-LINDSEY PA
Active
Other names
Athens Dental Works
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT BYRON BOOZER D.D.S. (DENTIST)
(903) 597-2121
Entity
Organization
Contact information
Practice address
6300 STATE HIGHWAY 19 S, ATHENS, TX 75751-8966
(903) 675-2023
Mailing address
PO BOX 9499, TYLER, TX 75711-9499
(903) 675-0023
(903) 675-0024
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213370401
—
TX
Enumeration date
06/03/2010
Last updated
10/04/2010
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