La Costa of Beaumont PA

NPI #1821446055 in Beaumont, Texas

Provider Information

NPI Number
1821446055
Entity Type
Organization
Organization Name
La Costa of Beaumont PA
Primary Specialty
Dentist - General Practice
Enumeration Date
May 27, 2016
Last Updated
Aug 13, 2025

Practice Location

Address
3870 COLLEGE STREET
Address 2
SUITE #200
State
Texas
ZIP Code
77701
Phone
(972) 514-1689

Authorized Official

Name
DR. TIEN DINH PHAN, DMD
Title
DENTIST
Phone
(409) 351-3122

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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