Organization
THOMAS C. MCCULLOCH, DDS
Active
Other names
Clear Lake Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L BROWN RDH (DENTAL HYGIENIST)
(281) 332-7010
Entity
Organization
Contact information
Practice address
11 PROFESSIONAL PARK DR, WEBSTER, TX 77598-4123
(281) 332-7010
(281) 332-7212
Mailing address
PO BOX 57220, WEBSTER, TX 77598-7220
(281) 332-7010
(281) 332-7212
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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