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3303 Recreational Road 255 West Brookeland TX 75931 | |
(409) 698-8800 | |
(409) 698-8801 |
Full Name | |
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Speciality | Dentist |
Location | 3303 Recreational Road 255 West, 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 |
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3303 Recreational Road 255 West Brookeland TX 75931 Ph: (409) 698-8800 | 3303 Recreational Road 255 West Brookeland TX 75931 Ph: (409) 698-8800 |
NPI Number | 1760939888 |
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Provider Enumeration Date | 09/07/2016 |
Last Update Date | 09/07/2016 |
Identifier | Type | State | Issuer |
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1760939888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22917 (Texas) | Primary |
122300000X | Dentist | 15204 (Texas) | Secondary |