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Organization

BEAUMONT FAMILY DENTAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID STOVALL D.D.S (PRESIDENT)
(409) 892-1101
Entity
Organization

Contact information

Practice address
950 LONGFELLOW DR, BEAUMONT, TX 77706-4831
(409) 892-1101
Mailing address
950 LONGFELLOW DR, BEAUMONT, TX 77706-4831
(409) 892-1101

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/13/2007
Last updated
02/02/2023
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