Small Smiles of Beaumont, PC

NPI #1184741704 in Beaumont, Texas

Provider Information

NPI Number: 1184741704
Entity Type: Organization
Organization Name: Small Smiles of Beaumont, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3865 PHELAN BLVD
City: Beaumont
State: Texas
ZIP Code: 77707-2243
Phone: (719) 583-1800

Authorized Official

Name: KALLENE M WEST
Title: DIRECTOR
Phone: (719) 583-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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