Organization
3560 BEAUMONT SMILE PROFESSIONAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM DRAPER (VP OF OPERATIONS)
(602) 391-4086
Entity
Organization
Contact information
Practice address
3560 DELAWARE ST STE 102, BEAUMONT, TX 77706-3059
(409) 892-2600
Mailing address
3560 DELAWARE ST STE 102, BEAUMONT, TX 77706-3059
(409) 892-2600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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