Lotus Dental PA

NPI #1417260647 in Beaumont, Texas

Provider Information

NPI Number: 1417260647
Entity Type: Organization
Organization Name: Lotus Dental PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 16, 2010
Last Updated: Jul 16, 2010

Practice Location

Address: 2106 N 11TH ST
City: Beaumont
State: Texas
ZIP Code: 77703-4912
Phone: (409) 898-1748

Authorized Official

Name: DR. KHOA T LE
Title: D.D.S.
Phone: (409) 466-7093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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