Individual
MR. DARON PAUL ETIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3853 PHELAN BLVD, BEAUMONT, TX 77707
(409) 835-2415
(409) 835-7064
Mailing address
3853 PHELAN BLVD, BEAUMONT, TX 77707
(409) 835-2415
(409) 835-7064
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5798
NATIONAL PACIFIC DENTAL
—
01
—
831278
UNITED CONCORDIA
TX
Enumeration date
09/15/2006
Last updated
07/08/2007
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