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Organization
CHILDRENS DENTISTRY OF BEAUMONT, P.C.
Active
Organization
CHILDRENS DENTISTRY OF BEAUMONT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE ANN MCQUADE DDS (OWNER/PEDIATRIC DENTIST)
(409) 866-8886
Entity
Organization
Contact information
Practice address
6755 PHELAN BLVD., SUITE 32, BEAUMONT, TX 77706
(409) 866-8886
Mailing address
2435 FM 1406 RD., WINNIE, TX 77665
(409) 866-8886
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20249
TX
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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