Tyme Square Dental

NPI #1598031262 in Spring, Texas

Provider Information

NPI Number: 1598031262
Entity Type: Organization
Organization Name: Tyme Square Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 28, 2012
Last Updated: Mar 28, 2012

Practice Location

Address: 3440 RILEY FUZZELL RD. SUITE 200
City: Spring
State: Texas
ZIP Code: 77386
Phone: (718) 614-0328

Authorized Official

Name: OLGA MIRIAM IGLESIAS, DDS
Title: PRESIDENT
Phone: (718) 614-0328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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