Organization · Type 2 NPI
Culberson R Boren DDS
Pediatric Dentistry · Jacksonville, TX
NPI number
1215208947
Active
Practice location
1634 S Jackson St
Jacksonville, TX 75766-3028
Fax (903) 581-9571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 13063 (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.
About NPI 1215208947
Culberson R Boren DDS's National Provider Identifier is 1215208947, issued on Jan 26, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jacksonville, TX. The record was last updated on Jan 26, 2012.