Jeannine Cullum Dds, Pllc
NPI #1386905248 in San Augustine, Texas
Provider Information
- NPI Number
- 1386905248
- Entity Type
- Organization
- Organization Name
- Jeannine Cullum Dds, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 6, 2012
- Last Updated
- Jun 6, 2012
Practice Location
- Address
- 214 E MAIN ST
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-2032
- Phone
- (936) 275-3101
Authorized Official
- Name
- DR. JEANNINE CULLUM, DDS
- Title
- PRESIDENT
- Phone
- (936) 275-3101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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