# BEAUMONT LOTUS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821329764
- **Authorized official:** KHOA TRONG LE (D.D.S.)
- **Authorized official phone:** (409) 466-7093

## Contact information

- **Practice address:** 2106 N 11TH ST, BEAUMONT, TX 77703-4912
- **Practice address phone:** (832) 274-2309
- **Mailing address:** 2106 N 11TH ST, BEAUMONT, TX 77703-4912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 21351 | TX | Yes |

## Other

- **Enumeration date:** 01/15/2010
- **Last updated:** 01/15/2010