Gaurav Puri PA

NPI #1932483526 in Beaumont, Texas

Provider Information

NPI Number: 1932483526
Entity Type: Organization
Organization Name: Gaurav Puri PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 1, 2011
Last Updated: Oct 1, 2011

Practice Location

Address: 4450 HIGHLAND AVE
City: Beaumont
State: Texas
ZIP Code: 77705-5205
Phone: (617) 281-7941

Authorized Official

Name: DR. GAURAV PURI
Title: DIRECTOR
Phone: (617) 281-7941

Specialties & Taxonomy Codes

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

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