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Organization

BEAUMONT SMILE CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HELENE SUH D.D.S. (PRESIDENT)
(409) 892-2600
Entity
Organization

Contact information

Practice address
3560 DELAWARE ST, SUITE 102, BEAUMONT, TX 77706-3067
(713) 269-0446
Mailing address
3560 DELAWARE ST, SUITE 102, BEAUMONT, TX 77706-3067
(713) 269-0446

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25675
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212340801
TPI
TX
01
823347494
ADA
TX
Enumeration date
07/16/2012
Last updated
07/19/2012
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