John Tyler Tate, D.D.S.

NPI #1376837807 in Southlake, Texas

Provider Information

NPI Number
1376837807
Entity Type
Individual
Name
John Tyler Tate, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 1, 2011
Last Updated
Jun 1, 2011

Practice Location

Address
3101 E STATE HIGHWAY 114 STE A
State
Texas
ZIP Code
76092-6639
Phone
(817) 481-6364

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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