Organization
C ELAM SCULL III DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ELAM SCULL III DDS MS (PRESIDENT ORTHODONTIST)
(830) 379-8722
Entity
Organization
Contact information
Practice address
309 N MILAM ST, SEGUIN, TX 78155-5514
(830) 379-8722
(830) 379-8728
Mailing address
309 N MILAM ST, SEGUIN, TX 78155-5514
(830) 379-8722
(830) 379-8728
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/01/2005
Last updated
08/22/2020
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