Organization
GULFSIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
4179 DOWLEN RD, BEAUMONT, TX 77706-6852
(972) 869-3789
(972) 869-3791
Mailing address
PO BOX 734753, DALLAS, TX 75373-2880
(972) 869-3789
(972) 869-3791
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
01/31/2022
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