DR. Jeannine Cullum, DDS
NPI #1407036072 in San Augustine, Texas
Provider Information
- NPI Number
- 1407036072
- Entity Type
- Individual
- Name
- DR. Jeannine Cullum, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 12, 2007
- Last Updated
- Nov 12, 2007
Practice Location
- Address
- 214 E MAIN ST
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-2032
- Phone
- (936) 275-3101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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