Jeannine Cullum Dds, Pllc | |
214 E Main St San Augustine TX 75972-2032 | |
(936) 275-3101 | |
(936) 275-1551 |
Full Name | Jeannine Cullum Dds, Pllc |
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Speciality | Clinic/center - Dental |
Location | 214 E Main St, San Augustine, Texas |
Authorized Official Name and Position | Jeannine Cullum (PRESIDENT) |
Authorized Official Contact | 9362753101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jeannine Cullum Dds, Pllc 214 E Main St San Augustine TX 75972-2032 Ph: (936) 275-3101 | Jeannine Cullum Dds, Pllc 214 E Main St San Augustine TX 75972-2032 Ph: (936) 275-3101 |
NPI Number | 1386905248 |
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Provider Enumeration Date | 06/06/2012 |
Last Update Date | 06/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386905248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 18319 (Texas) | Primary |
Bright Dental Studio Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W Columbia St, San Augustine, TX 75972 Phone: 936-288-3520 Fax: 936-288-5076 |