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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