Southern Oaks Dental Clinic

NPI #1720413271 in Beaumont, Texas

Provider Information

NPI Number: 1720413271
Entity Type: Organization
Organization Name: Southern Oaks Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 3, 2013
Last Updated: Jan 20, 2016

Practice Location

Address: 2627 CALDER ST
City: Beaumont
State: Texas
ZIP Code: 77702-1962
Phone: (409) 835-6257

Authorized Official

Name: DR. JOHN JOSHUA SEALE
Title: OWNER/DENTIST
Phone: (409) 835-6257

Specialties & Taxonomy Codes

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

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