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Culberson R Boren DDS PA

NPI #1215290697 in Longview, Texas

Provider Information

NPI Number
1215290697
Entity Type
Organization
Organization Name
Culberson R Boren DDS PA
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jun 20, 2012
Last Updated
Jun 20, 2012

Practice Location

Address
705 E MARSHALL AVE
Address 2
MEDICAL PLAZA III
City
Longview
State
Texas
ZIP Code
75601-5573
Phone
(903) 581-2198

Authorized Official

Name
DR. CULBERSON REEVES BOREN, DDS
Title
OWNER/ DOCTOR
Phone
(903) 581-2198

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric Dentistry — Pediatric Dentistry

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