Individual
DR. BROOK RACHELLE MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3590 BLACKMON LN, #1, BEAUMONT, TX 77706-7927
(409) 898-8602
(409) 898-8618
Mailing address
3590 BLACKMON LN, #1, BEAUMONT, TX 77706-7927
(409) 898-8602
(409) 898-8618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23069
TX
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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