| NPI | 1164821286 |
|---|---|
| Doing Business As | ALTUS DENTAL SURGERY CENTER BEAUMONT |
| Entity Type | Organization |
| Authorized Contact | POORANG PAHLAVAN Owner 281-427-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |