West End Dental Group, Pllc

NPI #1801105937 in Beaumont, Texas

Provider Information

NPI Number: 1801105937
Entity Type: Organization
Organization Name: West End Dental Group, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 7, 2010
Last Updated: Feb 7, 2012

Practice Location

Address: 6830 PHELAN BLVD
City: Beaumont
State: Texas
ZIP Code: 77706-5970
Phone: (409) 860-9600

Authorized Official

Name: DR. DAVID O OLSON, DDS,FICD,FACD
Title: DENTIST
Phone: (409) 860-9600

Specialties & Taxonomy Codes

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

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