Jasper Dental Emporium

NPI #1760939888 in Brookeland, Texas

Provider Information

NPI Number: 1760939888
Entity Type: Organization
Organization Name: Jasper Dental Emporium
Primary Specialty: Dentist
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 3303 RECREATIONAL ROAD 255 WEST
City: Brookeland
State: Texas
ZIP Code: 75931
Phone: (409) 698-8800

Authorized Official

Name: DR. JOHN JOSHUA SEALE, DDS
Title: OWNER/DENTIST
Phone: (409) 698-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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