Individual
DR. CHARLES REGINALD CLEVELAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 MAIN, SEALY, TX 77474
(979) 885-3355
(979) 885-0809
Mailing address
107 MAIN, SEALY, TX 77474
(979) 885-3355
(979) 885-0809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10578
TX
Other
Enumeration date
09/07/2006
Last updated
05/06/2015
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