Organization
BRICK STREET DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES COKER MORRISON DDS (MANAGER)
(903) 592-8411
Entity
Organization
Contact information
Practice address
215 W RUSK ST, TYLER, TX 75701-1652
(903) 592-8411
(903) 592-8454
Mailing address
215 W RUSK ST, TYLER, TX 75701-1652
(903) 592-8411
(903) 592-8454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12678
TX
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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