Organization
HULLETT DENTAL GROUP, PLLC
Active
Organization
HULLETT DENTAL GROUP, PLLC
Active
Other names
Southwest Oral and Implant Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HULLETT DMD (OWNER/ORAL SURGEON)
(201) 407-5181
Entity
Organization
Contact information
Practice address
24 GREENWAY PLZ STE 1708, HOUSTON, TX 77046-2417
(713) 439-7575
Mailing address
24 GREENWAY PLZ STE 1708, HOUSTON, TX 77046-2417
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31059
TX
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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