Organization
KENT B BOOZER DDS PA
Active
Other names
Boozer Dental Works
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT B BOOZER DDS (DENTIST/OWNER)
(903) 597-2121
Entity
Organization
Contact information
Practice address
5540 OLD JACKSONVILLE HWY, TYLER, TX 75703-3378
(903) 597-2121
(903) 581-7776
Mailing address
5540 OLD JACKSONVILLE HWY, TYLER, TX 75703-3378
(903) 597-2121
(903) 581-7776
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20107
TX
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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