Southeast Texas Dental Center
NPI #1356696058 in Jasper, Texas
Provider Information
- NPI Number
- 1356696058
- Entity Type
- Organization
- Organization Name
- Southeast Texas Dental Center
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 18, 2012
- Last Updated
- Jul 18, 2012
Practice Location
Authorized Official
- Name
- MS. CARRIE CAMILLE JORDAN
- Title
- BUSINESS MANAGER
- Phone
- (409) 384-5091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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