| NPI | 1174774699 |
|---|---|
| Doing Business As | BEAUMONT SMILES DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ANDREA MOORE Owner Doctor 951-769-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-20 |