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Organization
WESTSIDE DENTAL PLLC
Active
Organization
WESTSIDE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY PATRICK BECKHAM JR. DDS (DENTIST)
(832) 244-2770
Entity
Organization
Contact information
Practice address
5523 BROADWAY ST, PEARLAND, TX 77581-3739
(281) 997-2001
Mailing address
5523 BROADWAY ST, PEARLAND, TX 77581-3739
(281) 997-2001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28999
TX
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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