Organization
BEAUMONT LOTUS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHOA TRONG LE (D.D.S.)
(409) 466-7093
Entity
Organization
Contact information
Practice address
2106 N 11TH ST, BEAUMONT, TX 77703-4912
(832) 274-2309
Mailing address
2106 N 11TH ST, BEAUMONT, TX 77703-4912
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21351
TX
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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