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Organization
JASPER DENTAL EMPORIUM
Active
Organization
JASPER DENTAL EMPORIUM
Active
Other names
Rayburn General Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSHUA SEALE DDS (OWNER/DENTIST)
(409) 698-8800
Entity
Organization
Contact information
Practice address
3303 W RR 255, BROOKELAND, TX 75931-6412
(409) 698-8800
Mailing address
PO BOX 5210, SAM RAYBURN, TX 75951-6412
(409) 698-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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