Organization · Type 2 NPI

Culberson R Boren DDS PA

Pediatric Dentistry · Longview, TX

NPI number 1215290697 Active

Practice location

705 E Marshall Ave, Medical Plaza III
Longview, TX 75601-5573

Call (903) 581-2198 Map

Fax (903) 581-9571

Mailing address

7916 S Broadway Ave, STE150
Tyler, TX 75703-5274

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X13063 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

23 other providers at this address

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About NPI 1215290697

Culberson R Boren DDS PA's National Provider Identifier is 1215290697, issued on Jun 20, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Longview, TX. The record was last updated on Jun 20, 2012.