Organization
JASPER DENTAL EMPORIUM
Active
Other names
Rayburn General Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSHUA SEALE DDS (OWNER/DENTIST)
(409) 698-8800
Entity
Organization
Contact information
Practice address
3303 RECREATIONAL ROAD 255 WEST, BROOKELAND, TX 75931
(409) 698-8800
(409) 698-8801
Mailing address
3303 RECREATIONAL ROAD 255 WEST, BROOKELAND, TX 75931
(409) 698-8800
(409) 698-8801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15204
TX
122300000X
Dentist
Primary
22917
TX
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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