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3303 W Rr 255 Brookeland TX 75931-6412 | |
| (409) 698-8800 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3303 W Rr 255, Brookeland, Texas |
| Authorized Official Name and Position | John Joshua Seale (OWNER/DENTIST) |
| Authorized Official Contact | 4096988800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5210 Sam Rayburn TX 75951-6412 Ph: (409) 698-8800 | 3303 W Rr 255 Brookeland TX 75931-6412 Ph: (409) 698-8800 |
| NPI Number | 1659708055 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 09/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659708055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |