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Culberson R Boren Dds
Pediatric Dentist in Jacksonville, Texas
NPI 1215208947

Culberson R Boren Dds is a Pediatric Dentist based in Jacksonville, TX and is specialized in Pediatric Dentistry. Culberson R Boren Dds practices in Jacksonville, TX. The NPI Number for Culberson R Boren Dds is 1215208947 and holds a License No. 13063 (Texas).

The current practice location address for Culberson R Boren Dds is 1634 S Jackson St, Jacksonville, TX and can be reached out via phone at 903-581-2198 and via fax at 903-581-9571.

Location: 1634 S Jackson St, Jacksonville, TX, 75766-3028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215208947
Provider Name
Culberson R Boren Dds
Credential
Provider Entity Type
Organization
Address
1634 S Jackson St, Jacksonville, TX, 75766-3028
Phone Number
903-581-2198
Fax Number
903-581-9571
Provider Enumeration Date
01/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008045901 05 TX
institution
Provider Business Practice Location Address Details
Address
1634 S Jackson St
City
Jacksonville
State
Texas
Zip
75766-3028
Phone Number
903-581-2198
Fax Number
903-581-9571
person
Provider Business Mailing Address Details
Address
1634 S Jackson St
City
Jacksonville
State
Texas
Zip
75766-3028
Phone Number
903-581-2198
Fax Number
903-581-9571
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
13063 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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