Organization · Type 2 NPI
Jeannine Cullum Dds, PLLC
Dental Clinic/Center · San Augustine, TX
NPI number
1386905248
Active
Practice location
214 E Main St
San Augustine, TX 75972-2032
Fax (936) 275-1551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 18319 (TX) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in San Augustine
About NPI 1386905248
Jeannine Cullum Dds, PLLC's National Provider Identifier is 1386905248, issued on Jun 6, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Augustine, TX. The record was last updated on Jun 6, 2012.