Organization
JAVIRAMEL DENTAL PLLC
Active
Other names
Times Square Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER PEREZ DDS (MANAGER/GENERAL DENTIST)
(323) 282-8318
Entity
Organization
Contact information
Practice address
5201 S BROADWAY AVE STE 240, TYLER, TX 75703-3768
(323) 282-8318
Mailing address
5201 S BROADWAY AVE STE 240, TYLER, TX 75703-3768
(323) 282-8318
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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