Organization
EDWARD F ROD JR, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD FRANK ROD JR. DDS (PRESIDENT)
(409) 832-2532
Entity
Organization
Contact information
Practice address
2929 CALDER ST, #302, BEAUMONT, TX 77702-1845
(409) 832-2532
Mailing address
2929 CALDER ST, #302, BEAUMONT, TX 77702-1845
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12382
TX
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
12382
TX
Other
Enumeration date
11/06/2006
Last updated
02/13/2008
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