Organization
SHULTZ FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED S SHULTZ DDS (OFFICER)
(903) 630-6868
Entity
Organization
Contact information
Practice address
4290 KINSEY DR STE 300, TYLER, TX 75703-1022
(903) 630-6868
(903) 630-6871
Mailing address
4290 KINSEY DR STE 300, TYLER, TX 75703-1022
(903) 630-6868
(903) 630-6871
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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