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Thomas C. McCulloch, DDS

Clinic/Center, Dental in Webster, TX. Organization (NPI-2).

NPI number1982202537
StatusActive
Last updated in NPPESOct 15, 2020

Details

NPI
1982202537
Entity type
Organization (NPI-2)
Legal business name
Thomas C. McCulloch, DDS
Organization subpart
No
Enumeration date
Oct 15, 2020
Certification date
Oct 15, 2020
Last updated
Oct 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • Clear Lake Dental Center (Doing Business As)

Practice location

11 Professional Park Dr
Webster, TX 77598-4123

Phone 281-332-7010 · Fax 281-332-7212

Mailing address

Po Box 57220
Webster, TX 77598-7220

Phone 281-332-7010 · Fax 281-332-7212

Authorized official

Kelly L Brown
Dental Hygienist
2813327010

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