| Wjr Dds Jcr Dds Pllc Dental Corporation | |
|
411 Yaupon Livingston TX 77351 | |
| (936) 327-8232 | |
| (936) 327-3164 |
| Full Name | Wjr Dds Jcr Dds Pllc Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 411 Yaupon, Livingston, Texas |
| Authorized Official Name and Position | Woody Jene Reese (PRESIDENT OF PLLC) |
| Authorized Official Contact | 9363278232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wjr Dds Jcr Dds Pllc Dental Corporation 411 Yaupon Livingston TX 77351 Ph: (936) 327-8232 | Wjr Dds Jcr Dds Pllc Dental Corporation 411 Yaupon Livingston TX 77351 Ph: (936) 327-8232 |
| NPI Number | 1750455903 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750455903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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